11D2309353 CLIA NUMBER - PERIMETER MEDICAL WELLNESS DBA PRIMEHEALTHMD

Laboratory Demographics

  • CLIA Code: 11D2309353
  • Facility Name: PERIMETER MEDICAL WELLNESS DBA PRIMEHEALTHMD
  • Facility Address: 1801 PEACHTREE STREET, NE, SUITE 145
    ATLANTA, GA
    ZIP 30309
  • Facility Phone: 700 800-3351
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SARA J. BRZYKCY
  • NPI Number: 1407635873
  • Taxonomy: 261QD0000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2309353
LAB Type Physician Office
Facility Name PERIMETER MEDICAL WELLNESS DBA PRIMEHEALTHMD
Street 1801 PEACHTREE STREET, NE, SUITE 145
City ATLANTA
State GA
ZIP 30309
Phone 700 800-3351
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2024
Certificate Expiration Date 8/13/2026
Facility Type Physician Office
Lab Director SARA J. BRZYKCY

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