11D2254499 CLIA NUMBER - UPHILL WELLNESS

Laboratory Demographics

  • CLIA Code: 11D2254499
  • Facility Name: UPHILL WELLNESS
  • Facility Address: 160 CLAIREMONT AVENUE, SUITE 205
    DECATUR, GA
    ZIP 30030
  • Facility Phone: 404 594-1933
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: DANA M. HILL
  • NPI Number: 1720730476
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 11D2254499
LAB Type Mobile Laboratory
Facility Name UPHILL WELLNESS
Street 160 CLAIREMONT AVENUE, SUITE 205
City DECATUR
State GA
ZIP 30030
Phone 404 594-1933
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2024
Certificate Expiration Date 3/3/2026
Facility Type Mobile Laboratory
Lab Director DANA M. HILL

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