CLIA lab

CLIA 11D2214764: Mind and Body Wellness Center, PC

Johns Creek, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 11D2214764 belongs to Mind and Body Wellness Center, PC in Johns Creek, GA.

Certificate of Waiver, effective February 25, 2025, expires February 24, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
February 25, 2025
Certificate expiration
February 24, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
February 25, 2021
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
11D2214764
Lab name
Mind and Body Wellness Center, PC
Address
10475 Medlock Bridge Road, Bldg 800, Suite 820, Johns Creek, GA 30097
Phone
(404) 800-5181
Fax
(404) 800-5797

Annual test volume the lab reported

Waived tests
1,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Mind and Body Wellness Center, PC in Johns Creek?

11D2214764, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Mind and Body Wellness Center, PC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2214764 expire?

The CMS file lists February 24, 2027 as the certificate expiration date; the certificate took effect February 25, 2025.

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