11D2117638 CLIA NUMBER - REAL WEIGHTLOSS AND WELLNESS

Laboratory Demographics

  • CLIA Code: 11D2117638
  • Facility Name: REAL WEIGHTLOSS AND WELLNESS
  • Facility Address: 755 MOUNT VERNON HIGHWAY NE, SUITE 540
    ATLANTA, GA
    ZIP 30328
  • Facility Phone: 404 464-8749
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JADA MOORE-RUFFIN
  • NPI Number: 1548564784
  • Taxonomy: 2084P0804X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 11D2117638
LAB Type Physician Office
Facility Name REAL WEIGHTLOSS AND WELLNESS
Street 755 MOUNT VERNON HIGHWAY NE, SUITE 540
City ATLANTA
State GA
ZIP 30328
Phone 404 464-8749
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2024
Certificate Expiration Date 8/18/2026
Facility Type Physician Office
Lab Director JADA MOORE-RUFFIN

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This page was last updated on: 9/29/2025