11D2323757 CLIA NUMBER - PROACTIVE SCREENING SOLUTIONS

Laboratory Demographics

  • CLIA Code: 11D2323757
  • Facility Name: PROACTIVE SCREENING SOLUTIONS
  • Facility Address: 1441 WOODMONT LN, NW, SUITE 993
    ATLANTA, GA
    ZIP 30318
  • Facility Phone: 800 590-0114
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: TONETTA R. WHITE ATLEY
  • NPI Number: 1659160687
  • Taxonomy: 261QX0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2323757
LAB Type Independent
Facility Name PROACTIVE SCREENING SOLUTIONS
Street 1441 WOODMONT LN, NW, SUITE 993
City ATLANTA
State GA
ZIP 30318
Phone 800 590-0114
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2025
Certificate Expiration Date 5/12/2027
Facility Type Independent
Lab Director TONETTA R. WHITE ATLEY

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