11D2285941 CLIA NUMBER - MEDLINK OGLETHROPE

Laboratory Demographics

  • CLIA Code: 11D2285941
  • Facility Name: MEDLINK OGLETHROPE
  • Facility Address: 247 UNION POINT STREET
    LEXINGTON, GA
    ZIP 30648
  • Facility Phone: 706 743-8171
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: SAMUEL KAZUC SENCIL
  • NPI Number: 1083724082
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2285941
LAB Type Federally Qualified Health Center
Facility Name MEDLINK OGLETHROPE
Street 247 UNION POINT STREET
City LEXINGTON
State GA
ZIP 30648
Phone 706 743-8171
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 SAMUEL KAZUC SENCIL

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