11D2285939 CLIA NUMBER - MEDLINK ROYSTON

Laboratory Demographics

  • CLIA Code: 11D2285939
  • Facility Name: MEDLINK ROYSTON
  • Facility Address: 930 FRANKLIN SPRINGS STREET
    ROYSTON, GA
    ZIP 30662
  • Facility Phone: 706 245-5050
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: DANIEL HARRY GORDON
  • NPI Number: 1336259340
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2285939
LAB Type Federally Qualified Health Center
Facility Name MEDLINK ROYSTON
Street 930 FRANKLIN SPRINGS STREET
City ROYSTON
State GA
ZIP 30662
Phone 706 245-5050
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 7/20/2025
Certificate Expiration Date 7/19/2027
Facility Type Federally Qualified Health Center
Lab Director DANIEL HARRY GORDON

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