11D2279278 CLIA NUMBER - STAT WELLNESS PEACHTREE CITY

Laboratory Demographics

  • CLIA Code: 11D2279278
  • Facility Name: STAT WELLNESS PEACHTREE CITY
  • Facility Address: 3015 STATE STREET
    PEACHTREE CITY, GA
    ZIP 30269
  • Facility Phone: 404 254-5905
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: KRISTIN OJA
  • NPI Number: 1396464335
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2279278
LAB Type Practitioner Other
Facility Name STAT WELLNESS PEACHTREE CITY
Street 3015 STATE STREET
City PEACHTREE CITY
State GA
ZIP 30269
Phone 404 254-5905
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2025
Certificate Expiration Date 3/30/2027
Facility Type Practitioner Other
Lab Director KRISTIN OJA

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