11D2266244 CLIA NUMBER - PIEDMONT URGENT CARE BY WELLSTREET

Laboratory Demographics

  • CLIA Code: 11D2266244
  • Facility Name: PIEDMONT URGENT CARE BY WELLSTREET
  • Facility Address: 5791 ZEBULON ROAD, SUITE A
    MACON, GA
    ZIP 31210
  • Facility Phone: 478 845-4640
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: CASSANDRA DONNELLY
  • NPI Number: 1922292002
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 11D2266244
LAB Type Other - URGENT CARE
Facility Name PIEDMONT URGENT CARE BY WELLSTREET
Street 5791 ZEBULON ROAD, SUITE A
City MACON
State GA
ZIP 31210
Phone 478 845-4640
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2024
Certificate Expiration Date 8/8/2026
Facility Type Other - URGENT CARE
Lab Director CASSANDRA DONNELLY

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