Healthcare Provider Details

I. General information

NPI: 1134055205
Provider Name (Legal Business Name): RELYON LABS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 DIXIE DR
JONESBORO GA
30236-2388
US

IV. Provider business mailing address

950 DIXIE DR
JONESBORO GA
30236-2388
US

V. Phone/Fax

Practice location:
  • Phone: 866-983-9736
  • Fax: 866-560-2180
Mailing address:
  • Phone: 866-983-9736
  • Fax: 866-560-2180

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: VALESIA ANDRANIECE EVERSON
Title or Position: COO
Credential:
Phone: 770-318-9523