11D2115526 CLIA NUMBER - MOHAWK HEALTHY LIFE CLINIC INDUSTRIAL PARK

Laboratory Demographics

  • CLIA Code: 11D2115526
  • Facility Name: MOHAWK HEALTHY LIFE CLINIC INDUSTRIAL PARK
  • Facility Address: 2100 SOUTH HAMILTON STREET
    DALTON, GA
    ZIP 30721
  • Facility Phone: (480) 868-0646
  • Facility Type: Other - OUT PATIENT
  • Facility Type: Waiver
  • Lab Director: GABRIELA GUZMAN

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2115526
LAB Type Other - OUT PATIENT
Facility Name MOHAWK HEALTHY LIFE CLINIC INDUSTRIAL PARK
Street 2100 SOUTH HAMILTON STREET
City DALTON
State GA
ZIP 30721
Phone 4808680646
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2024
Certificate Expiration Date 7/7/2026
Facility Type Other - OUT PATIENT
Lab Director GABRIELA GUZMAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026