11D2256681 CLIA NUMBER - RESET DIAGNOSTIC LLC

Laboratory Demographics

  • CLIA Code: 11D2256681
  • Facility Name: RESET DIAGNOSTIC LLC
  • Facility Address: 1301 ROUND ROCK
    CONYERS, GA
    ZIP 30012
  • Facility Phone: 215 971-0610
  • Facility Type: Other - DIAGNOSTIC TESTING SITE
  • Facility Type: Waiver
  • Lab Director: SHEENA C. BALLARD
  • NPI Number: 1679222327
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 11D2256681
LAB Type Other - DIAGNOSTIC TESTING SITE
Facility Name RESET DIAGNOSTIC LLC
Street 1301 ROUND ROCK
City CONYERS
State GA
ZIP 30012
Phone 215 971-0610
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2024
Certificate Expiration Date 3/27/2026
Facility Type Other - DIAGNOSTIC TESTING SITE
Lab Director SHEENA C. BALLARD

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