11D2234839 CLIA NUMBER - STAT WELLNESS

Laboratory Demographics

  • CLIA Code: 11D2234839
  • Facility Name: STAT WELLNESS
  • Facility Address: 1465 HOWELL MILL ROAD, NW, SUITE 300 A
    ATLANTA, GA
    ZIP 30318
  • Facility Phone: 404 254-5905
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: KRISTIN C. OJA
  • NPI Number: 1689393621
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2234839
LAB Type Practitioner Other
Facility Name STAT WELLNESS
Street 1465 HOWELL MILL ROAD, NW, SUITE 300 A
City ATLANTA
State GA
ZIP 30318
Phone 404 254-5905
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2025
Certificate Expiration Date 9/1/2027
Facility Type Practitioner Other
Lab Director KRISTIN C. OJA

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