11D2248831 CLIA NUMBER - HEARTS FOR HEALING LLC

Laboratory Demographics

  • CLIA Code: 11D2248831
  • Facility Name: HEARTS FOR HEALING LLC
  • Facility Address: 4930 PROMENADE DRIVE SW
    ATLANTA, GA
    ZIP 30331
  • Facility Phone: (404) 587-9162
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: LATASHIA PRINCE
  • NPI Number: 1780209007
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 11D2248831
LAB Type Mobile Laboratory
Facility Name HEARTS FOR HEALING LLC
Street 4930 PROMENADE DRIVE SW
City ATLANTA
State GA
ZIP 30331
Phone 4045879162
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2026
Certificate Expiration Date 1/17/2028
Facility Type Mobile Laboratory
Lab Director LATASHIA PRINCE

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This page was last updated on: 5/18/2026