11D2235970 CLIA NUMBER - EXPRESS CLINIC

Laboratory Demographics

  • CLIA Code: 11D2235970
  • Facility Name: EXPRESS CLINIC
  • Facility Address: 3350 STEVE REYNOLDS BOULEVARD SUITE 408
    DULUTH, GA
    ZIP 30096
  • Facility Phone: 770 666-6196
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SOLOMON MATOVU
  • NPI Number: 1023768090
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 11D2235970
LAB Type Physician Office
Facility Name EXPRESS CLINIC
Street 3350 STEVE REYNOLDS BOULEVARD SUITE 408
City DULUTH
State GA
ZIP 30096
Phone 770 666-6196
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2025
Certificate Expiration Date 9/13/2027
Facility Type Physician Office
Lab Director SOLOMON MATOVU

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