11D2173148 CLIA NUMBER - CALHOUN CORPORATE HEALTHY LIFE CENTER

Laboratory Demographics

  • CLIA Code: 11D2173148
  • Facility Name: CALHOUN CORPORATE HEALTHY LIFE CENTER
  • Facility Address: 160 S INDUSTRIAL BLVD
    CALHOUN, GA
    ZIP 30701
  • Facility Phone: 804 904-6976
  • Facility Type: Other - OUT PATIENT
  • Facility Type: Waiver
  • Lab Director: GABRIELA GUZMAN
  • NPI Number: 1396968772
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2173148
LAB Type Other - OUT PATIENT
Facility Name CALHOUN CORPORATE HEALTHY LIFE CENTER
Street 160 S INDUSTRIAL BLVD
City CALHOUN
State GA
ZIP 30701
Phone 804 904-6976
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2025
Certificate Expiration Date 10/6/2027
Facility Type Other - OUT PATIENT
Lab Director GABRIELA GUZMAN

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