11D2184658 CLIA NUMBER - HOPE HARBOR WELLNESS LLC

Laboratory Demographics

  • CLIA Code: 11D2184658
  • Facility Name: HOPE HARBOR WELLNESS LLC
  • Facility Address: 126 ENTERPRISE PATH SUITE 208
    HIRAM, GA
    ZIP 30141
  • Facility Phone: 470 469-7393
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: DARRELL MURRAY
  • NPI Number: 1992321301
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2184658
LAB Type Independent
Facility Name HOPE HARBOR WELLNESS LLC
Street 126 ENTERPRISE PATH SUITE 208
City HIRAM
State GA
ZIP 30141
Phone 470 469-7393
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2024
Certificate Expiration Date 5/21/2026
Facility Type Independent
Lab Director DARRELL MURRAY

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