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GENESIS COMPREHENSIVE WELLNESS SCREENINGS, LLC
NPI 1366035768
Clinic/Center in Douglasville, GA

Active since February 16, 2021CLIA 11D2161565 · Waiver
3417 HIGHWAY 5 STE D, DOUGLASVILLE, GA 30135(470) 284-2895 Get Directions Write a Review

NPPES record last updated: February 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Genesis Comprehensive Wellness Screenings, Llc NPPES

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

GENESIS COMPREHENSIVE WELLNESS SCREENINGS, LLC (NPI 1366035768) is a healthcare organization registered as a clinic/center in Douglasville, Georgia and active in the NPI registry since February 2021. The organization holds a CLIA Waiver certificate valid through February 5, 2027 and lists Janine Eastman, President, as its authorized official.

NPPES Registry Identity

NPI1366035768
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameGENESIS COMPREHENSIVE WELLNESS SCREENINGS, LLC
Location Address3417 HIGHWAY 5 STE DDouglasville, GA 30135-2378
Mailing Address3417 Highway 5 Ste C1Douglasville, GA 30135-2378 · (470) 284-2895
Phone(470) 284-2895
Organization SubpartNo
Authorized OfficialJanine EastmanPresident · (470) 284-2895
Enumeration DateFebruary 16, 2021
Last NPPES UpdateFebruary 17, 2021
NPPES CertifiedFebruary 17, 2021
✔ NPI 1366035768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
3417 HIGHWAY 5 STE D, Douglasville, GA 30135
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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 Waiver 11D2161565

Genesis Comprehensive Wellness Screenings, LLC · Douglasville, GA
Active · expires Feb 5, 2027
CLIA Number11D2161565
Laboratory TypeMobile Laboratory
Certificate Effective DateFebruary 6, 2025
Certificate Expiration DateFebruary 5, 2027
Laboratory DirectorJanine T. Eastman
Laboratory Phone(770) 742-8846
Laboratory LocationGenesis Comprehensive Wellness Screenings, LLC3417 Highway 5, C-1, Douglasville, GA 30135
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Genesis Comprehensive Wellness Screenings, LLC's NPI number?

The NPI number for Genesis Comprehensive Wellness Screenings, LLC is 1366035768. It was assigned to this organization in the NPPES registry on February 16, 2021.

Where is Genesis Comprehensive Wellness Screenings, LLC located?

Genesis Comprehensive Wellness Screenings, LLC is located at 3417 Highway 5 Ste D, Douglasville, GA 30135. The listed phone number is (470) 284-2895.

What is Genesis Comprehensive Wellness Screenings, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Genesis Comprehensive Wellness Screenings, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2161565) is associated with this NPI, valid through February 5, 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 Genesis Comprehensive Wellness Screenings, LLC was last updated on February 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.