I had read the reviews and wasn't worried about cleanliness as excessive attention to our health was the cause for several lower reviews. I was concerned that I would be tense as there was mention of a less than friendly attitude.
Luckily I saw nothing of that. I called the day before I got pierced to see what prices would be. I was getting second holes in my ears plus cartilage top of ear. I was given the prices and a bunch of make sure you eat first and the person at the other end was friendly.
When we showed up, the receptionist was incredibly friendly and answered all of our off topic gauge questions as well as overloading me with information that she handed to me in paper form as well. While we waited she showed us her favorite jewelry. My piercer was Jeremiah and he was fantastic. He made jokes through the entire ordeal. Some of them were even funny.
Not once did I get the look or or expression of you are not cool enough to get pierced that I have gotten other places.
If you use their bathroom, the light is a motion detector so don't stand in the doorway and try to feel for a switch on the wall. You won't find it and the light won't go on. That was the most uncomfortable awkward part of the entire trip for me.