11D2285939 CLIA NUMBER - MEDLINK ROYSTON

Laboratory Demographics

CLIA Number: 11D2285939

Facility Name: MEDLINK ROYSTON

Facility Address:
930 FRANKLIN SPRINGS STREET
ROYSTON, GA
ZIP 30662
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Facility Phone Number: 706 245-5050

Facility Type: Federally Qualified Health Center

Certificate Type: Microscopy

NPI Number: 1336259340

Taxonomy: 261QF0400X - Clinic/Center

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
CertificateType	3
CertificateEffectiveDate	7/20/2023
CertificateExpirationDate	7/19/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024