11D2157351 CLIA NUMBER - THRIVE MEDICAL PARTNERS, LLC

Laboratory Demographics

  • CLIA Code: 11D2157351
  • Facility Name: THRIVE MEDICAL PARTNERS, LLC
  • Facility Address: 1498 JESSE JEWEL PARKWAY, SUITE A
    GAINESVILLE, GA
    ZIP 30501
  • Facility Phone: 678 257-2547
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAIMINI A. DAVE
  • NPI Number: 1144707001
  • Taxonomy: 208VP0000X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2157351
LAB Type Physician Office
Facility Name THRIVE MEDICAL PARTNERS, LLC
Street 1498 JESSE JEWEL PARKWAY, SUITE A
City GAINESVILLE
State GA
ZIP 30501
Phone 678 257-2547
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type Physician Office
Lab Director JAIMINI A. DAVE

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