11D2319166 CLIA NUMBER - L&W MEDICAL SERVICES DBA LIVINGWELL MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 11D2319166
  • Facility Name: L&W MEDICAL SERVICES DBA LIVINGWELL MEDICAL CENTER
  • Facility Address: 6553 HIGHWAY 41
    RINGGOLD, GA
    ZIP 30736
  • Facility Phone: 706 965-6000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LESLIE M. WEAVER
  • NPI Number: 1629873492
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 11D2319166
LAB Type Physician Office
Facility Name L&W MEDICAL SERVICES DBA LIVINGWELL MEDICAL CENTER
Street 6553 HIGHWAY 41
City RINGGOLD
State GA
ZIP 30736
Phone 706 965-6000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2025
Certificate Expiration Date 2/24/2027
Facility Type Physician Office
Lab Director LESLIE M. WEAVER

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