11D2157072 CLIA NUMBER - POSITIVE IMPACT HEALTH CENTER, INC

Laboratory Demographics

  • CLIA Code: 11D2157072
  • Facility Name: POSITIVE IMPACT HEALTH CENTER, INC
  • Facility Address: 523 CHURCH STREET
    DECATUR, GA
    ZIP 30030
  • Facility Phone: (404) 589-9040
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: JOEY D. HELTON
  • NPI Number: 1144315946
  • Taxonomy: 251S00000X - Community/Behavioral Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2157072
LAB Type Community Clinic
Facility Name POSITIVE IMPACT HEALTH CENTER, INC
Street 523 CHURCH STREET
City DECATUR
State GA
ZIP 30030
Phone 4045899040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2024
Certificate Expiration Date 10/29/2026
Facility Type Community Clinic
Lab Director JOEY D. HELTON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026