11D2311822 CLIA NUMBER - SERAPHYM HEALTHCARE LLC

Laboratory Demographics

  • CLIA Code: 11D2311822
  • Facility Name: SERAPHYM HEALTHCARE LLC
  • Facility Address: 368 WEST PIKE STREET, #106
    LAWRENCEVILLE, GA
    ZIP 30046
  • Facility Phone: 470 294-1087
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHENEAKA L. SYKES
  • NPI Number: 1245067248
  • Taxonomy: 163WW0101X - Registered Nurse

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CLIA Record

Field Name Field Value
CLIA Number 11D2311822
LAB Type Physician Office
Facility Name SERAPHYM HEALTHCARE LLC
Street 368 WEST PIKE STREET, #106
City LAWRENCEVILLE
State GA
ZIP 30046
Phone 470 294-1087
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type Physician Office
Lab Director SHENEAKA L. SYKES

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