11D2285348 CLIA NUMBER - MEDLINK HABERSHAM

Laboratory Demographics

  • CLIA Code: 11D2285348
  • Facility Name: MEDLINK HABERSHAM
  • Facility Address: 396 HISTORIC HWY 441 N
    DEMOREST, GA
    ZIP 30535
  • Facility Phone: 706 754-4348
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: DEREK ARTHUR KLEMM
  • NPI Number: 1851722524
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2285348
LAB Type Federally Qualified Health Center
Facility Name MEDLINK HABERSHAM
Street 396 HISTORIC HWY 441 N
City DEMOREST
State GA
ZIP 30535
Phone 706 754-4348
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/11/2025
Certificate Expiration Date 7/10/2027
Facility Type Federally Qualified Health Center
Lab Director DEREK ARTHUR KLEMM

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