11D2223315 CLIA NUMBER - MED FIRST

Laboratory Demographics

  • CLIA Code: 11D2223315
  • Facility Name: MED FIRST
  • Facility Address: 56 CARRIAGE OAKS DRIVE
    TYRONE, GA
    ZIP 30290
  • Facility Phone: 316 570-0392
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DONGJIN YOON
  • NPI Number: 1982287496
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2223315
LAB Type Physician Office
Facility Name MED FIRST
Street 56 CARRIAGE OAKS DRIVE
City TYRONE
State GA
ZIP 30290
Phone 316 570-0392
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2025
Certificate Expiration Date 5/4/2027
Facility Type Physician Office
Lab Director DONGJIN YOON

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