11D2157982 CLIA NUMBER - ETHNE HEALTH, INC

Laboratory Demographics

  • CLIA Code: 11D2157982
  • Facility Name: ETHNE HEALTH, INC
  • Facility Address: 980 ROWLAND STREET SUITE 4190
    CLARKSTON, GA
    ZIP 30021
  • Facility Phone: 470 799-0044
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: SEAN R. LINDSEY
  • NPI Number: 1538646054
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2157982
LAB Type Community Clinic
Facility Name ETHNE HEALTH, INC
Street 980 ROWLAND STREET SUITE 4190
City CLARKSTON
State GA
ZIP 30021
Phone 470 799-0044
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 11/19/2024
Certificate Expiration Date 11/18/2026
Facility Type Community Clinic
Lab Director SEAN R. LINDSEY

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