11D0262016 CLIA NUMBER - MEDLINK COLBERT

Laboratory Demographics

  • CLIA Code: 11D0262016
  • Facility Name: MEDLINK COLBERT
  • Facility Address: 11 CHARLIE MORRIS ROAD
    COLBERT, GA
    ZIP 30628
  • Facility Phone: 706 788-2127
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: SAMUEL KAZUC SENCIL
  • NPI Number: 1427156264
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D0262016
LAB Type Federally Qualified Health Center
Facility Name MEDLINK COLBERT
Street 11 CHARLIE MORRIS ROAD
City COLBERT
State GA
ZIP 30628
Phone 706 788-2127
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Federally Qualified Health Center
Lab Director SAMUEL KAZUC SENCIL

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This page was last updated on: 9/29/2025