11D2251502 CLIA NUMBER - PURPOSEFUL HEALTH & LAB SOLUTIONS, LLC

Laboratory Demographics

  • CLIA Code: 11D2251502
  • Facility Name: PURPOSEFUL HEALTH & LAB SOLUTIONS, LLC
  • Facility Address: 1115 MOUNT ZION ROAD SUITE 10
    MORROW, GA
    ZIP 30260
  • Facility Phone: 404 917-2570
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: ADRIENNE N. ZACKERY
  • NPI Number: 1437802188
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2251502
LAB Type Independent
Facility Name PURPOSEFUL HEALTH & LAB SOLUTIONS, LLC
Street 1115 MOUNT ZION ROAD SUITE 10
City MORROW
State GA
ZIP 30260
Phone 404 917-2570
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/3/2024
Certificate Expiration Date 2/2/2026
Facility Type Independent
Lab Director ADRIENNE N. ZACKERY

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This page was last updated on: 6/4/2025