11D2190362 CLIA NUMBER - CLUTCH DIAGNOSTICS

Laboratory Demographics

  • CLIA Code: 11D2190362
  • Facility Name: CLUTCH DIAGNOSTICS
  • Facility Address: 438 PORSCHE AVENUE
    ATLANTA, GA
    ZIP 30354
  • Facility Phone: 470 648-5018
  • Facility Type: Other - HEALTH DIAGNOSTIC SERVICE
  • Facility Type: Waiver
  • Lab Director: CYNTHIA MEYER
  • NPI Number: 1871177329
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 11D2190362
LAB Type Other - HEALTH DIAGNOSTIC SERVICE
Facility Name CLUTCH DIAGNOSTICS
Street 438 PORSCHE AVENUE
City ATLANTA
State GA
ZIP 30354
Phone 470 648-5018
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2024
Certificate Expiration Date 8/12/2026
Facility Type Other - HEALTH DIAGNOSTIC SERVICE
Lab Director CYNTHIA MEYER

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