11D2243012 CLIA NUMBER - HD SCREENING AND LABORATORY

Laboratory Demographics

  • CLIA Code: 11D2243012
  • Facility Name: HD SCREENING AND LABORATORY
  • Facility Address: 303 RANDY WAY
    DALLAS, GA
    ZIP 30132
  • Facility Phone: 718 954-2875
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: NATASHA JONES
  • NPI Number: 1386397669
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 11D2243012
LAB Type Independent
Facility Name HD SCREENING AND LABORATORY
Street 303 RANDY WAY
City DALLAS
State GA
ZIP 30132
Phone 718 954-2875
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2023
Certificate Expiration Date 11/15/2025
Facility Type Independent
Lab Director NATASHA JONES

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This page was last updated on: 3/20/2025