11D2269609 CLIA NUMBER - 4 PLUS 1 ENTERPRISES, LLC

Laboratory Demographics

  • CLIA Code: 11D2269609
  • Facility Name: 4 PLUS 1 ENTERPRISES, LLC
  • Facility Address: 1710 TIMBERLINE TRACE
    SNELLVILLE, GA
    ZIP 30078
  • Facility Phone: 424 204-3403
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: JASMINE HUTCHINSON
  • NPI Number: 1316664725
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 11D2269609
LAB Type Mobile Laboratory
Facility Name 4 PLUS 1 ENTERPRISES, LLC
Street 1710 TIMBERLINE TRACE
City SNELLVILLE
State GA
ZIP 30078
Phone 424 204-3403
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2024
Certificate Expiration Date 9/28/2026
Facility Type Mobile Laboratory
Lab Director JASMINE HUTCHINSON

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