11D2135398 CLIA NUMBER - MEDLINK GAINESVILLE

Laboratory Demographics

  • CLIA Code: 11D2135398
  • Facility Name: MEDLINK GAINESVILLE
  • Facility Address: 520 SE JESSE JEWELL PARKWAY
    GAINESVILLE, GA
    ZIP 30501
  • Facility Phone: 770 287-0290
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: MARIA ISABEL ALBAN
  • NPI Number: 1245340264
  • Taxonomy: 261QF0400X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2135398
LAB Type Federally Qualified Health Center
Facility Name MEDLINK GAINESVILLE
Street 520 SE JESSE JEWELL PARKWAY
City GAINESVILLE
State GA
ZIP 30501
Phone 770 287-0290
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/22/2025
Certificate Expiration Date 8/21/2027
Facility Type Federally Qualified Health Center
Lab Director MARIA ISABEL ALBAN

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: 9/29/2025