11D2121702 CLIA NUMBER - PIEDMONT URGENT CARE BY WELLSTREET

Laboratory Demographics

  • CLIA Code: 11D2121702
  • Facility Name: PIEDMONT URGENT CARE BY WELLSTREET
  • Facility Address: 3330 SUGARLOAF PKWY, SUITE A
    LAWRENCEVILLE, GA
    ZIP 30044
  • Facility Phone: 678 710-2727
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: BRIAN BOBB
  • NPI Number: 1093177883
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2121702
LAB Type Other - URGENT CARE
Facility Name PIEDMONT URGENT CARE BY WELLSTREET
Street 3330 SUGARLOAF PKWY, SUITE A
City LAWRENCEVILLE
State GA
ZIP 30044
Phone 678 710-2727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type Other - URGENT CARE
Lab Director BRIAN BOBB

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