11D2318590 CLIA NUMBER - ANNABELLE FIELDS WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 11D2318590
  • Facility Name: ANNABELLE FIELDS WELLNESS CENTER
  • Facility Address: 1800 PHOENIX BLVD, SUITE 210-B
    COLLEGE PARK, GA
    ZIP 30349
  • Facility Phone: (513) 704-4788
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: JAIMEE COLVIN
  • NPI Number: 1871312900
  • Taxonomy: 261QC1500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2318590
LAB Type Community Clinic
Facility Name ANNABELLE FIELDS WELLNESS CENTER
Street 1800 PHOENIX BLVD, SUITE 210-B
City COLLEGE PARK
State GA
ZIP 30349
Phone 5137044788
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/13/2025
Certificate Expiration Date 2/12/2027
Facility Type Community Clinic
Lab Director JAIMEE COLVIN

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This page was last updated on: 5/18/2026