11D2246818 CLIA NUMBER - NURSETHICKS DOT SOLUTIONS

Laboratory Demographics

  • CLIA Code: 11D2246818
  • Facility Name: NURSETHICKS DOT SOLUTIONS
  • Facility Address: 179 COOK DRIVE
    ELLENWOOD, GA
    ZIP 30294
  • Facility Phone: 678 789-0762
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: TENNILLE M. HICKS
  • NPI Number: 1750124483
  • Taxonomy: 261QH0100X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2246818
LAB Type Practitioner Other
Facility Name NURSETHICKS DOT SOLUTIONS
Street 179 COOK DRIVE
City ELLENWOOD
State GA
ZIP 30294
Phone 678 789-0762
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2023
Certificate Expiration Date 12/29/2025
Facility Type Practitioner Other
Lab Director TENNILLE M. HICKS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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