NPI RECORD OF PRO-GENEX LABORATORIES INCORPORATED NPI 1427610674

Pathology (Molecular Genetic Pathology) in Gainesville, GA

ABOUT PRO-GENEX LABORATORIES INCORPORATED

Pro-genex Laboratories Incorporated is a provider established in Gainesville, Georgia specializing in pathology (molecular genetic pathology) . The NPI number of Pro-genex Laboratories Incorporated is 1427610674 and was assigned on July 2019. The practitioner's primary taxonomy code is 207ZP0007X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Pro-genex Laboratories Incorporated operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Brett Grauss (President & Ceo)

The CLIA number of Pro-genex Laboratories Incorporated is 11D2166978 registered as a "independent" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued to Pro-genex Laboratories Incorporated after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

NPI                            1427610674

Provider Name                       PRO-GENEX LABORATORIES INCORPORATED
Provider Location Address   999 CHESTNUT ST SE STE 16 GAINESVILLE, GA 30501
Provider Mailing Address     999 CHESTNUT ST SE STE 16 GAINESVILLE, GA 30501
NPI Entity Type                       Organization
Is Sole Proprietor?                 N/A
Is Organization Subpart?      No
Enumeration Date                 07-08-2019
Last Update Date                   07-08-2019

AUTHORIZED OFFICIAL

Authorized Official Name  BRETT GRAUSS
Authorized Official Title     PRESIDENT & CEO
Authorized Official Phone (844) 794-3637

CLIA INFORMATION

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1427610674 is:

CLIA Number 11D2166978
Facility Type INDEPENDENT
Certificate Type Certificate of Compliance

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