11D2077958 CLIA NUMBER - AMINA MEDICAL CONSULTANTS, PC

Laboratory Demographics

  • CLIA Code: 11D2077958
  • Facility Name: AMINA MEDICAL CONSULTANTS, PC
  • Facility Address: 2840 NE EXPRESSWAY STE 116
    ATLANTA, GA
    ZIP 30345
  • Facility Phone: 404 929-1402
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMINA S. HASSANALI
  • NPI Number: 1780083188
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2077958
LAB Type Physician Office
Facility Name AMINA MEDICAL CONSULTANTS, PC
Street 2840 NE EXPRESSWAY STE 116
City ATLANTA
State GA
ZIP 30345
Phone 404 929-1402
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2024
Certificate Expiration Date 5/19/2026
Facility Type Physician Office
Lab Director AMINA S. HASSANALI

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