11D2216140 CLIA NUMBER - TRUE WELLNESS, LLC

Laboratory Demographics

CLIA Number: 11D2216140

Facility Name: TRUE WELLNESS, LLC

Facility Address:
395 RIVERBEND DRIVE
MCDONOUGH, GA
ZIP 30252
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Facility Phone Number: 470 485-1462

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1649772880

Taxonomy: 261QH0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	11D2216140
LAB Type	Practitioner Other
Facility Name	TRUE WELLNESS, LLC
Street	395 RIVERBEND DRIVE
City	MCDONOUGH
State	GA
ZIP	30252
Phone	470 485-1462
CertificateType	4
CertificateEffectiveDate	3/10/2023
CertificateExpirationDate	3/9/2025
FacilityType	Waiver

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