11D2301504 CLIA NUMBER - SOLAR PLEXUS WELLNESS

Laboratory Demographics

  • CLIA Code: 11D2301504
  • Facility Name: SOLAR PLEXUS WELLNESS
  • Facility Address: 1121 JOHNSON FERRY ROAD, SUITE 350
    MARIETTA, GA
    ZIP 30068
  • Facility Phone: 770 709-6382
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANJHARI MATTHEWS
  • NPI Number: 1538988480
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 11D2301504
LAB Type Physician Office
Facility Name SOLAR PLEXUS WELLNESS
Street 1121 JOHNSON FERRY ROAD, SUITE 350
City MARIETTA
State GA
ZIP 30068
Phone 770 709-6382
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2024
Certificate Expiration Date 3/26/2026
Facility Type Physician Office
Lab Director ANJHARI MATTHEWS

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