11D2185302 CLIA NUMBER - SUMMIT WELLNESS GROUP, INC, THE

Laboratory Demographics

  • CLIA Code: 11D2185302
  • Facility Name: SUMMIT WELLNESS GROUP, INC, THE
  • Facility Address: 996 HUFF ROAD NW SUITE C
    ATLANTA, GA
    ZIP 30318
  • Facility Phone: 770 299-1677
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: ROBERT SCHALIT III
  • NPI Number: 1093338816
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2185302
LAB Type Comp. Outpatient Rehab Facility
Facility Name SUMMIT WELLNESS GROUP, INC, THE
Street 996 HUFF ROAD NW SUITE C
City ATLANTA
State GA
ZIP 30318
Phone 770 299-1677
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2024
Certificate Expiration Date 6/1/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director ROBERT SCHALIT III

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