11D2196151 CLIA NUMBER - PERISTEAM ATLANTA OF DREAM WELLNESS SOLUTIONS, INC

Laboratory Demographics

  • CLIA Code: 11D2196151
  • Facility Name: PERISTEAM ATLANTA OF DREAM WELLNESS SOLUTIONS, INC
  • Facility Address: 2500 PARK CENTRAL BOULEVARD, SUITE A-1
    DECATUR, GA
    ZIP 30035
  • Facility Phone: 404 314-4737
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: KAREN J. DAVIS
  • NPI Number: 1295327815
  • Taxonomy: 282J00000X - Religious Nonmedical Health Care Institution

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CLIA Record

Field Name Field Value
CLIA Number 11D2196151
LAB Type Independent
Facility Name PERISTEAM ATLANTA OF DREAM WELLNESS SOLUTIONS, INC
Street 2500 PARK CENTRAL BOULEVARD, SUITE A-1
City DECATUR
State GA
ZIP 30035
Phone 404 314-4737
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2024
Certificate Expiration Date 10/14/2026
Facility Type Independent
Lab Director KAREN J. DAVIS

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