HEALING HANDS DIAGNOSTIC LAB LLC
NPI 1780338517
Clinical Medical Laboratory in Tucker, GA

Active since February 10, 2022CLIA 11D2248165 · Waiver
2256 NORTHLAKE PKWY STE 110, TUCKER, GA 30084(678) 387-9409(470) 300-7993 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 2, 2025, Aug 21, 2024, Feb 7, 2024 and 3 more (6 updates tracked since 2022).

About Healing Hands Diagnostic Lab Llc NPPES

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

HEALING HANDS DIAGNOSTIC LAB LLC (NPI 1780338517), doing business as Healing Hands Diagnostic Llc, is a healthcare organization registered as a clinical medical laboratory in Tucker, Georgia and active in the NPI registry since February 2022. The organization holds a CLIA Waiver certificate valid through January 11, 2028 and lists Staci Slack, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1780338517
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameHEALING HANDS DIAGNOSTIC LAB LLC
Location Address2256 NORTHLAKE PKWY STE 110Tucker, GA 30084-4012
Mailing Address4440 Idlewood ParkLithonia, GA 30038-6247 · (678) 387-9409 · Fax (470) 401-2551
Fax(470) 300-7993
Organization SubpartNo
Authorized OfficialStaci SlackChief Executive Officer · (678) 387-9409
Enumeration DateFebruary 10, 2022
Last NPPES UpdateSeptember 2, 20256 updates tracked since enumeration
NPPES CertifiedAugust 21, 2024
NPI 1780338517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
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.
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
Also ListedMilitary Clinical Medical LaboratoryTaxonomy 291900000X
2256 NORTHLAKE PKWY STE 110, Tucker, GA 30084

Other Names 1

Doing Business AsHealing Hands Diagnostic Llc

Other Identifiers 1

Medicaid003187979GA

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 11D2248165

Healing Hands Diagnostic Lab · Tucker, GA
Active · expires Jan 11, 2028
CLIA Number11D2248165
Laboratory TypeDiagnostic Lab Agency
Certificate Effective DateJanuary 12, 2026
Certificate Expiration DateJanuary 11, 2028
Laboratory DirectorStaci Slack
Laboratory Phone(678) 387-9409
Laboratory LocationHealing Hands Diagnostic Lab2256 Northlake Parkway, Suite 110, Tucker, GA 30084
CLIA data matches this NPI record on: Address Name Phone
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 Healing Hands Diagnostic Lab LLC's NPI number?

The NPI number for Healing Hands Diagnostic Lab LLC is 1780338517. It was assigned to this organization in the NPPES registry on February 10, 2022. The provider is doing business as Healing Hands Diagnostic LLC.

Where is Healing Hands Diagnostic Lab LLC located?

Healing Hands Diagnostic Lab LLC is located at 2256 Northlake Pkwy Ste 110, Tucker, GA 30084. The listed phone number is (678) 387-9409.

What is Healing Hands Diagnostic Lab LLC's specialty?

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

Does Healing Hands Diagnostic Lab LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2248165) is associated with this NPI, valid through January 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Healing Hands Diagnostic Lab LLC was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.