11D2189817 CLIA NUMBER - WELLSYNC ROAD TO RECOVERY SERVICES

Laboratory Demographics

  • CLIA Code: 11D2189817
  • Facility Name: WELLSYNC ROAD TO RECOVERY SERVICES
  • Facility Address: 1309 MILSTEAD AVENUE
    CONYERS, GA
    ZIP 30012
  • Facility Phone: 770 679-4336
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: WANDA M. RAINEY
  • NPI Number: 1194173500
  • Taxonomy: 1041C0700X - Social Worker

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CLIA Record

Field Name Field Value
CLIA Number 11D2189817
LAB Type Ambulance
Facility Name WELLSYNC ROAD TO RECOVERY SERVICES
Street 1309 MILSTEAD AVENUE
City CONYERS
State GA
ZIP 30012
Phone 770 679-4336
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2024
Certificate Expiration Date 8/5/2026
Facility Type Ambulance
Lab Director WANDA M. RAINEY

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