11D2135405 CLIA NUMBER - MEDLINK WINDER

Laboratory Demographics

  • CLIA Code: 11D2135405
  • Facility Name: MEDLINK WINDER
  • Facility Address: 133 WEST ATHENS STREET ATTN SANDRA SCOTT
    WINDER, GA
    ZIP 30680
  • Facility Phone: 770 867-6633
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: DR. MUSHTAQ AHMED
  • NPI Number: 1700335882
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2135405
LAB Type Federally Qualified Health Center
Facility Name MEDLINK WINDER
Street 133 WEST ATHENS STREET ATTN SANDRA SCOTT
City WINDER
State GA
ZIP 30680
Phone 770 867-6633
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 DR. MUSHTAQ AHMED

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