11D2156376 CLIA NUMBER - PIEDMONT URGENT CARE BY WELLSTREET

Laboratory Demographics

  • CLIA Code: 11D2156376
  • Facility Name: PIEDMONT URGENT CARE BY WELLSTREET
  • Facility Address: 10 MAIN STREET MARKET PLACE
    CARTERSVILLE, GA
    ZIP 30121
  • Facility Phone: 470 851-3353
  • Facility Type: Other - URGENT CARE CLINIC
  • Facility Type: Waiver
  • Lab Director: BRIAN BOBB
  • NPI Number: 1932138716
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2156376
LAB Type Other - URGENT CARE CLINIC
Facility Name PIEDMONT URGENT CARE BY WELLSTREET
Street 10 MAIN STREET MARKET PLACE
City CARTERSVILLE
State GA
ZIP 30121
Phone 470 851-3353
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2024
Certificate Expiration Date 10/16/2026
Facility Type Other - URGENT CARE CLINIC
Lab Director BRIAN BOBB

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