11D2261020 CLIA NUMBER - CLINLGX, LLC

Laboratory Demographics

  • CLIA Code: 11D2261020
  • Facility Name: CLINLGX, LLC
  • Facility Address: 3379 PEACHTREE ROAD, NE, STE 555
    ATLANTA, GA
    ZIP 30326
  • Facility Phone: 404 595-1275
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: DAVID L. SCOTT
  • NPI Number: 1306571146
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 11D2261020
LAB Type Independent
Facility Name CLINLGX, LLC
Street 3379 PEACHTREE ROAD, NE, STE 555
City ATLANTA
State GA
ZIP 30326
Phone 404 595-1275
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2024
Certificate Expiration Date 5/24/2026
Facility Type Independent
Lab Director DAVID L. SCOTT

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