11D2287268 CLIA NUMBER - PERSONAL WELLNESS INC

Laboratory Demographics

  • CLIA Code: 11D2287268
  • Facility Name: PERSONAL WELLNESS INC
  • Facility Address: 625 BOXWOOD TERRACE
    JOHNS CREEK, GA
    ZIP 30005
  • Facility Phone: (770) 330-7179
  • Facility Type: Health Fair
  • Facility Type: Waiver
  • Lab Director: THOMAS REETHS
  • NPI Number: 1780161323
  • Taxonomy: 207QA0505X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2287268
LAB Type Health Fair
Facility Name PERSONAL WELLNESS INC
Street 625 BOXWOOD TERRACE
City JOHNS CREEK
State GA
ZIP 30005
Phone 7703307179
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2025
Certificate Expiration Date 8/10/2027
Facility Type Health Fair
Lab Director THOMAS REETHS

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This page was last updated on: 5/18/2026