11D2221676 CLIA NUMBER - CLINIC KLINIC

Laboratory Demographics

  • CLIA Code: 11D2221676
  • Facility Name: CLINIC KLINIC
  • Facility Address: 1750 POWDER SPRINGS ROAD SW
    MARIETTA, GA
    ZIP 30064
  • Facility Phone: 770 876-8889
  • Facility Type: Other - CLINIC
  • Facility Type: Waiver
  • Lab Director: MANOUCHKA LOMINY
  • NPI Number: 1134793102
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2221676
LAB Type Other - CLINIC
Facility Name CLINIC KLINIC
Street 1750 POWDER SPRINGS ROAD SW
City MARIETTA
State GA
ZIP 30064
Phone 770 876-8889
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2025
Certificate Expiration Date 4/22/2027
Facility Type Other - CLINIC
Lab Director MANOUCHKA LOMINY

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