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11D2084528 CLIA NUMBER - MYGENOMICS, LLC

Laboratory Demographics

CLIA Number: 11D2084528

Facility Name: MYGENOMICS, LLC

Facility Address:
11535 PARK WOODS CIRCLE, SUITE E
ALPHARETTA, GA
ZIP 30005
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Facility Phone Number: 855 647-4363

Facility Type: Independent

Certificate Type: Certificate of Compliance
NPI Number: 1720403116

Taxonomy: 291U00000X - Clinical Medical Laboratory
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

CLIA Record

Field Name Field Value
CLIA Number 11D2084528
LAB Type Independent
Facility Name MYGENOMICS, LLC
Street 11535 PARK WOODS CIRCLE, SUITE E
City ALPHARETTA
State GA
ZIP 30005
Phone 855 647-4363
CertificateType 2
CertificateEffectiveDate 8/6/2023
CertificateExpirationDate 8/5/2025
FacilityType Compliance

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This page was last updated on: 4/23/2024