11D2215709 CLIA NUMBER - BRIGHTER HEALTH & PRIMARY CARE, LLC

Laboratory Demographics

CLIA Number: 11D2215709

Facility Name: BRIGHTER HEALTH & PRIMARY CARE, LLC

Facility Address:
5755 NORTH POINT PARKWAY SUITE 221
ALPHARETTA, GA
ZIP 30022
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Facility Phone Number: 404 478-7220

Facility Type: Independent

Certificate Type: Waiver

NPI Number: 1720679095

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name Field Value
CLIA Number 11D2215709
LAB Type Independent
Facility Name BRIGHTER HEALTH & PRIMARY CARE, LLC
Street 5755 NORTH POINT PARKWAY SUITE 221
City ALPHARETTA
State GA
ZIP 30022
Phone 404 478-7220
CertificateType 4
CertificateEffectiveDate 3/5/2023
CertificateExpirationDate 3/4/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024