11D2251030 CLIA NUMBER - MEDICO DIAGNOSTICS

Laboratory Demographics

  • CLIA Code: 11D2251030
  • Facility Name: MEDICO DIAGNOSTICS
  • Facility Address: 3827 ROSWELL ROAD, SUITE 100
    MARIETTA, GA
    ZIP 30062
  • Facility Phone: 678 916-7032
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: BELLA N. ROSE
  • NPI Number: 1730807454
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 11D2251030
LAB Type Mobile Laboratory
Facility Name MEDICO DIAGNOSTICS
Street 3827 ROSWELL ROAD, SUITE 100
City MARIETTA
State GA
ZIP 30062
Phone 678 916-7032
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2024
Certificate Expiration Date 1/31/2026
Facility Type Mobile Laboratory
Lab Director BELLA N. ROSE

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