11D2272022 CLIA NUMBER - THRIVE HEALTH AND WELLNESS

Laboratory Demographics

  • CLIA Code: 11D2272022
  • Facility Name: THRIVE HEALTH AND WELLNESS
  • Facility Address: 421 PAGE PLACE RD
    STATESBORO, GA
    ZIP 30458
  • Facility Phone: 912 536-7618
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERICA LANIER
  • NPI Number: 1629704002
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2272022
LAB Type Physician Office
Facility Name THRIVE HEALTH AND WELLNESS
Street 421 PAGE PLACE RD
City STATESBORO
State GA
ZIP 30458
Phone 912 536-7618
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type Physician Office
Lab Director ERICA LANIER

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