11D2319994 CLIA NUMBER - CENTER FOR INTENTIONAL WELLNESS

Laboratory Demographics

  • CLIA Code: 11D2319994
  • Facility Name: CENTER FOR INTENTIONAL WELLNESS
  • Facility Address: 3295 RIVER EXCHANGE, SUITE 400
    NORCROSS, GA
    ZIP 30092
  • Facility Phone: 229 395-8243
  • Facility Type: Other - COUNSELING CENTER
  • Facility Type: Waiver
  • Lab Director: KAMBIZ AFLATOON
  • NPI Number: 1780448670
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2319994
LAB Type Other - COUNSELING CENTER
Facility Name CENTER FOR INTENTIONAL WELLNESS
Street 3295 RIVER EXCHANGE, SUITE 400
City NORCROSS
State GA
ZIP 30092
Phone 229 395-8243
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2025
Certificate Expiration Date 3/10/2027
Facility Type Other - COUNSELING CENTER
Lab Director KAMBIZ AFLATOON

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