11D2321843 CLIA NUMBER - DEVOTION MOBILE PHLEBOTOMY SERVICES CO

Laboratory Demographics

  • CLIA Code: 11D2321843
  • Facility Name: DEVOTION MOBILE PHLEBOTOMY SERVICES CO
  • Facility Address: 2385 WALL STREET, NE, #207
    CONYERS, GA
    ZIP 30013
  • Facility Phone: 678 851-7381
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: TAMORA GILLIAM
  • NPI Number: 1205713013
  • Taxonomy: 343900000X - Non-emergency Medical Transport (VAN)

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2321843
LAB Type Mobile Laboratory
Facility Name DEVOTION MOBILE PHLEBOTOMY SERVICES CO
Street 2385 WALL STREET, NE, #207
City CONYERS
State GA
ZIP 30013
Phone 678 851-7381
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2025
Certificate Expiration Date 4/10/2027
Facility Type Mobile Laboratory
Lab Director TAMORA GILLIAM

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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