11D2246746 CLIA NUMBER - PURIFI CLINICS, LLC

Laboratory Demographics

  • CLIA Code: 11D2246746
  • Facility Name: PURIFI CLINICS, LLC
  • Facility Address: 1500 PEACHTREE INDUSTRIAL BOULEVARD SUITE 125
    SUWANEE, GA
    ZIP 30024
  • Facility Phone: 470 691-2508
  • Facility Type: Other - WELLNESS CENTER
  • Facility Type: Waiver
  • Lab Director: JEREMY NELSON
  • NPI Number: 1467267666
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2246746
LAB Type Other - WELLNESS CENTER
Facility Name PURIFI CLINICS, LLC
Street 1500 PEACHTREE INDUSTRIAL BOULEVARD SUITE 125
City SUWANEE
State GA
ZIP 30024
Phone 470 691-2508
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/29/2023
Certificate Expiration Date 12/28/2025
Facility Type Other - WELLNESS CENTER
Lab Director JEREMY NELSON

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