11D2156374 CLIA NUMBER - ZYWIE, INC

Laboratory Demographics

  • CLIA Code: 11D2156374
  • Facility Name: ZYWIE, INC
  • Facility Address: 12000 FINDLEY ROAD, SUITE 360
    JOHNS CREEK, GA
    ZIP 30097
  • Facility Phone: 678 514-3158
  • Facility Type: Other - PHYSIOLOGICAL LAB CARDIAC
  • Facility Type: Waiver
  • Lab Director: LATHA GANESHAN
  • NPI Number: 1912375148
  • Taxonomy: 293D00000X - Physiological Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 11D2156374
LAB Type Other - PHYSIOLOGICAL LAB CARDIAC
Facility Name ZYWIE, INC
Street 12000 FINDLEY ROAD, SUITE 360
City JOHNS CREEK
State GA
ZIP 30097
Phone 678 514-3158
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2024
Certificate Expiration Date 10/16/2026
Facility Type Other - PHYSIOLOGICAL LAB CARDIAC
Lab Director LATHA GANESHAN

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