11D2322226 CLIA NUMBER - MENKE INVESTMENT, INC DBA MEDI WEIGHTLOSS ROSWELL

Laboratory Demographics

  • CLIA Code: 11D2322226
  • Facility Name: MENKE INVESTMENT, INC DBA MEDI WEIGHTLOSS ROSWELL
  • Facility Address: 624 HOLCOMB BRIDGE ROAD, SUITE 7
    ROSWELL, GA
    ZIP 30076
  • Facility Phone: 678 619-0001
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FRANCISCO JACOME
  • NPI Number: 1861284192
  • Taxonomy: 207RB0002X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2322226
LAB Type Physician Office
Facility Name MENKE INVESTMENT, INC DBA MEDI WEIGHTLOSS ROSWELL
Street 624 HOLCOMB BRIDGE ROAD, SUITE 7
City ROSWELL
State GA
ZIP 30076
Phone 678 619-0001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2025
Certificate Expiration Date 4/16/2027
Facility Type Physician Office
Lab Director FRANCISCO JACOME

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