11D2245164 CLIA NUMBER - WOMENS INTEGRATIVE LLC

Laboratory Demographics

  • CLIA Code: 11D2245164
  • Facility Name: WOMENS INTEGRATIVE LLC
  • Facility Address: 3280 HOWELL MILL ROAD, SUITE 304
    ATLANTA, GA
    ZIP 30327
  • Facility Phone: 404 984-0703
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STACEY PEREIRA
  • NPI Number: 1467181578
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 11D2245164
LAB Type Physician Office
Facility Name WOMENS INTEGRATIVE LLC
Street 3280 HOWELL MILL ROAD, SUITE 304
City ATLANTA
State GA
ZIP 30327
Phone 404 984-0703
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/9/2023
Certificate Expiration Date 12/8/2025
Facility Type Physician Office
Lab Director STACEY PEREIRA

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