11D2187856 CLIA NUMBER - ELYSIUM HEALTH AND WELLNESS LLC

Laboratory Demographics

  • CLIA Code: 11D2187856
  • Facility Name: ELYSIUM HEALTH AND WELLNESS LLC
  • Facility Address: 5555 PEACHTREE DUNWOODY ROAD SUITE 201
    ATLANTA, GA
    ZIP 30342
  • Facility Phone: 470 663-6622
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. TRENTON C. ELLIOTT
  • NPI Number: 1528689841
  • Taxonomy: 207RI0200X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2187856
LAB Type Physician Office
Facility Name ELYSIUM HEALTH AND WELLNESS LLC
Street 5555 PEACHTREE DUNWOODY ROAD SUITE 201
City ATLANTA
State GA
ZIP 30342
Phone 470 663-6622
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 9/6/2024
Certificate Expiration Date 9/5/2026
Facility Type Physician Office
Lab Director DR. TRENTON C. ELLIOTT

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