11D2305162 CLIA NUMBER - STATUS HEALTH

Laboratory Demographics

  • CLIA Code: 11D2305162
  • Facility Name: STATUS HEALTH
  • Facility Address: 8735 DUNWOODY PLACE, SUITE R
    ATLANTA, GA
    ZIP 30350
  • Facility Phone: 954 281-9631
  • Facility Type: Health Fair
  • Facility Type: Waiver
  • Lab Director: RODELINE JOSEPH
  • NPI Number: 1093560534
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2305162
LAB Type Health Fair
Facility Name STATUS HEALTH
Street 8735 DUNWOODY PLACE, SUITE R
City ATLANTA
State GA
ZIP 30350
Phone 954 281-9631
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2024
Certificate Expiration Date 5/27/2026
Facility Type Health Fair
Lab Director RODELINE JOSEPH

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