11D2197452 CLIA NUMBER - EMERGENT TESTING LAB DBA LUX ENTERPRISE

Laboratory Demographics

  • CLIA Code: 11D2197452
  • Facility Name: EMERGENT TESTING LAB DBA LUX ENTERPRISE
  • Facility Address: 13 CORPORATE BOULEVARD, NE, SUITE 100
    BROOKHAVEN, GA
    ZIP 30329
  • Facility Phone: 678 764-6994
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. BERNADETTE WILDEMORE
  • NPI Number: 1932787355
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2197452
LAB Type Independent
Facility Name EMERGENT TESTING LAB DBA LUX ENTERPRISE
Street 13 CORPORATE BOULEVARD, NE, SUITE 100
City BROOKHAVEN
State GA
ZIP 30329
Phone 678 764-6994
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/28/2024
Certificate Expiration Date 2/27/2026
Facility Type Independent
Lab Director DR. BERNADETTE WILDEMORE

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This page was last updated on: 6/4/2025