Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Complete Wellness Diagnostic Lab, LLC

Organization Health Service Clinic/Center · NPI 1013665355

Complete Wellness Diagnostic Lab, LLC is a Health Service Clinic/Center in Conyers, Georgia. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1514 Riverbrooke Way NE
Conyers, GA 30012-6624
Phone: (678) 643-0885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Service Clinic/Center (primary) Taxonomy 261QH0100X

Record details

NPI number1013665355
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charnika Porter — Owner/Administrator · (678) 643-0885
NPI enumeratedMarch 15, 2022
Last updated in NPPESMarch 15, 2022
Certification dateMarch 15, 2022
Mailing address1514 Riverbrooke Way Ne, Conyers, GA 30012-6624

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