11D2261447 CLIA NUMBER - SUNRISE HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 11D2261447
  • Facility Name: SUNRISE HEALTH SERVICES
  • Facility Address: 2212 SURREY TRI SE
    CONYERS, GA
    ZIP 30013
  • Facility Phone: 770 854-1761
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: NEAHRIAH JAEL
  • NPI Number: 1982340279
  • Taxonomy: 251J00000X - Nursing Care

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CLIA Record

Field Name Field Value
CLIA Number 11D2261447
LAB Type Mobile Laboratory
Facility Name SUNRISE HEALTH SERVICES
Street 2212 SURREY TRI SE
City CONYERS
State GA
ZIP 30013
Phone 770 854-1761
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2024
Certificate Expiration Date 5/31/2026
Facility Type Mobile Laboratory
Lab Director NEAHRIAH JAEL

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