11D2322586 CLIA NUMBER - GENESIS HORIZON TESTER LLC

Laboratory Demographics

  • CLIA Code: 11D2322586
  • Facility Name: GENESIS HORIZON TESTER LLC
  • Facility Address: 303 SOUTH 18TH STREET
    GRIFFIN, GA
    ZIP 30224
  • Facility Phone: 404 259-0969
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: SHARIMA K. MILLS
  • NPI Number: 1902628449
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 11D2322586
LAB Type Mobile Laboratory
Facility Name GENESIS HORIZON TESTER LLC
Street 303 SOUTH 18TH STREET
City GRIFFIN
State GA
ZIP 30224
Phone 404 259-0969
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2025
Certificate Expiration Date 4/22/2027
Facility Type Mobile Laboratory
Lab Director SHARIMA K. MILLS

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