11D2291552 CLIA NUMBER - THOMAS LIFETIME HEALTH

Laboratory Demographics

  • CLIA Code: 11D2291552
  • Facility Name: THOMAS LIFETIME HEALTH
  • Facility Address: 575 PROFESSIONAL DRIVE, SUITE 310
    LAWRENCEVILLE, GA
    ZIP 30046
  • Facility Phone: (678) 376-5858
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN J. THOMAS
  • NPI Number: 1265137822
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2291552
LAB Type Physician Office
Facility Name THOMAS LIFETIME HEALTH
Street 575 PROFESSIONAL DRIVE, SUITE 310
City LAWRENCEVILLE
State GA
ZIP 30046
Phone 6783765858
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2025
Certificate Expiration Date 10/11/2027
Facility Type Physician Office
Lab Director STEPHEN J. THOMAS

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This page was last updated on: 5/15/2026