11D2263679 CLIA NUMBER - PEACHTREE WELLNESS SOLUTIONS LLC

Laboratory Demographics

  • CLIA Code: 11D2263679
  • Facility Name: PEACHTREE WELLNESS SOLUTIONS LLC
  • Facility Address: 100 GOVENORS SQUARE SUITE 109-110
    PEACHTREE CITY, GA
    ZIP 30269
  • Facility Phone: 888 718-4661
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: BRYON MCQUIRT
  • NPI Number: 1245962778
  • Taxonomy: 261QR0405X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2263679
LAB Type Independent
Facility Name PEACHTREE WELLNESS SOLUTIONS LLC
Street 100 GOVENORS SQUARE SUITE 109-110
City PEACHTREE CITY
State GA
ZIP 30269
Phone 888 718-4661
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2024
Certificate Expiration Date 6/30/2026
Facility Type Independent
Lab Director BRYON MCQUIRT

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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