11D2240829 CLIA NUMBER - CENTERED WELLNESS, LLC

Laboratory Demographics

  • CLIA Code: 11D2240829
  • Facility Name: CENTERED WELLNESS, LLC
  • Facility Address: 1250 UPPER HEMBREE ROAD SUITE F
    ROSWELL, GA
    ZIP 30076
  • Facility Phone: 770 410-4895
  • Facility Type: Health Main. Organization
  • Facility Type: Waiver
  • Lab Director: KRISTA K. SMITH
  • NPI Number: 1013670934
  • Taxonomy: 261QM0850X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2240829
LAB Type Health Main. Organization
Facility Name CENTERED WELLNESS, LLC
Street 1250 UPPER HEMBREE ROAD SUITE F
City ROSWELL
State GA
ZIP 30076
Phone 770 410-4895
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2023
Certificate Expiration Date 10/21/2025
Facility Type Health Main. Organization
Lab Director KRISTA K. SMITH

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