11D2011861 CLIA NUMBER - MUSE MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 11D2011861
  • Facility Name: MUSE MEDICAL CLINIC
  • Facility Address: 3300 MEMORIAL DRIVE, SUITE C-1
    DECATUR, GA
    ZIP 30032
  • Facility Phone: 678 732-9087
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MR. JESSIE ALAMIN
  • NPI Number: 1851604862
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 11D2011861
LAB Type Physician Office
Facility Name MUSE MEDICAL CLINIC
Street 3300 MEMORIAL DRIVE, SUITE C-1
City DECATUR
State GA
ZIP 30032
Phone 678 732-9087
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2024
Certificate Expiration Date 8/23/2026
Facility Type Physician Office
Lab Director MR. JESSIE ALAMIN

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