11D0703390 CLIA NUMBER - MEDICAL NEUROGENETIC LLC

Laboratory Demographics

  • CLIA Code: 11D0703390
  • Facility Name: MEDICAL NEUROGENETIC LLC
  • Facility Address: 5424 GLENRIDGE DRIVE, NE
    ATLANTA, GA
    ZIP 30342
  • Facility Phone: 470 419-5601
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. ZENA WOLF
  • NPI Number: 1447436514
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 11D0703390
LAB Type Independent
Facility Name MEDICAL NEUROGENETIC LLC
Street 5424 GLENRIDGE DRIVE, NE
City ATLANTA
State GA
ZIP 30342
Phone 470 419-5601
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/8/2024
Certificate Expiration Date 6/7/2026
Facility Type Independent
Lab Director DR. ZENA WOLF

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This page was last updated on: 6/4/2025