11D2288090 CLIA NUMBER - MEYTY MOBILE LABS, LLC

Laboratory Demographics

  • CLIA Code: 11D2288090
  • Facility Name: MEYTY MOBILE LABS, LLC
  • Facility Address: 5 FITZWATER ROAD
    PORT WENTWORTH, GA
    ZIP 31407
  • Facility Phone: (912) 272-7739
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: YVETTA EVANS-WHITE
  • NPI Number: 1205613700
  • Taxonomy: 261QX0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2288090
LAB Type Mobile Laboratory
Facility Name MEYTY MOBILE LABS, LLC
Street 5 FITZWATER ROAD
City PORT WENTWORTH
State GA
ZIP 31407
Phone 9122727739
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2025
Certificate Expiration Date 8/21/2027
Facility Type Mobile Laboratory
Lab Director YVETTA EVANS-WHITE

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This page was last updated on: 5/18/2026