11D2179352 CLIA NUMBER - BEAL WELLNESS

Laboratory Demographics

  • CLIA Code: 11D2179352
  • Facility Name: BEAL WELLNESS
  • Facility Address: 1093 CLEVELAND AVENUE
    EAST POINT, GA
    ZIP 30344
  • Facility Phone: 404 768-2218
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDDIE C. BEAL
  • NPI Number: 1811494503
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 11D2179352
LAB Type Physician Office
Facility Name BEAL WELLNESS
Street 1093 CLEVELAND AVENUE
City EAST POINT
State GA
ZIP 30344
Phone 404 768-2218
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2024
Certificate Expiration Date 2/20/2026
Facility Type Physician Office
Lab Director EDDIE C. BEAL

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