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ENVISION CLINICAL LABORATORY
NPI 1285169359
Clinical Medical Laboratory in Lawrenceville, GA

Active since April 26, 2017CLIA 11D2120556 · Accreditation
629 AIRPORT RD, SUITE C, LAWRENCEVILLE, GA 30046(770) 545-8877 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 30, 2024, Apr 26, 2017 (2 updates tracked since 2017).

About Envision Clinical Laboratory NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ENVISION CLINICAL LABORATORY (NPI 1285169359) is a healthcare organization registered as a clinical medical laboratory in Lawrenceville, Georgia and active in the NPI registry since April 2017. The organization holds an CLIA Accreditation certificate valid through December 29, 2027 and lists Mikelle Coleby, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1285169359
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameENVISION HEALTHCARE RESOURCES, LLC
Location Address629 AIRPORT RD, SUITE CLawrenceville, GA 30046-4474
Mailing Address629 Airport Rd Ste JLawrenceville, GA 30046-4474 · (678) 251-8180 · Fax (770) 545-8840
Phone(770) 545-8877
Organization SubpartNo
Authorized OfficialMikelle ColebyPresident/ceo · (678) 251-8180
Enumeration DateApril 26, 2017
Last NPPES UpdateApril 30, 20242 updates tracked since enumeration
NPPES CertifiedApril 30, 2024
✔ NPI 1285169359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License✔ Licensed in GA · 067-081
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
629 AIRPORT RD, Lawrenceville, GA 30046
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Other Names 1

Doing Business AsEnvision Clinical Laboratory

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 11D2120556

Envision Healthcare Resources · Lawrenceville, GA
Active · expires Dec 29, 2027
CLIA Number11D2120556
Laboratory TypeIndependent
Certificate Effective DateDecember 30, 2025
Certificate Expiration DateDecember 29, 2027
Laboratory DirectorDr. Robert Burnette
Laboratory Phone(678) 251-8180
Laboratory LocationEnvision Healthcare Resources629 Airport Road, Suite J, Lawrenceville, GA 30046
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
1,316 services84 patients
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc U0002
This refers to a test for COVID-19, caused by the SARS-CoV-2 virus. The test identifies multiple types or subtypes of the virus, including all targets. It's not specifically based on the CDC's testing protocol. It helps determine if you're currently infected with the virus.
1,202 services84 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
231 services48 patients
Bacterial culture for aerobic isolates 87077
A bacterial culture for aerobic isolates is a lab test that helps identify bacteria that thrive in oxygen-rich environments. A sample from the suspected infection site is collected, then placed in a special medium that promotes bacterial growth. After a set period, the lab identifies any bacteria present, aiding in accurate diagnosis and treatment.
29 services15 patients
Bacterial colony count, urine 87086
A bacterial colony count, urine, is a laboratory test that checks a urine sample for bacteria. It helps to identify if an infection is present in the urinary system. High numbers of bacteria in the urine can indicate a urinary tract infection (UTI).
23 services14 patients
Bacterial urine culture 87088
A bacterial urine culture is a laboratory test that checks for bacteria in your urine. It helps identify the type of bacteria causing an infection, enabling the selection of the most effective treatment. The test involves collecting a urine sample in a sterile container.
19 services15 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Envision Healthcare Resources, LLC's NPI number?

The NPI number for Envision Healthcare Resources, LLC is 1285169359. It was assigned to this organization in the NPPES registry on April 26, 2017. The provider is doing business as Envision Clinical Laboratory.

Where is Envision Healthcare Resources, LLC located?

Envision Healthcare Resources, LLC is located at 629 Airport Rd Suite C, Lawrenceville, GA 30046. The listed phone number is (770) 545-8877.

What is Envision Healthcare Resources, LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Envision Healthcare Resources, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 11D2120556) is associated with this NPI, valid through December 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Envision Healthcare Resources, LLC was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.