CLINIC KLINIC
NPI 1134793102
Clinic/Center - Primary Care in Marietta, GA

Active since May 14, 2021CLIA 11D2221676 · Waiver
1750 POWDER SPRINGS RD SW STE 510, MARIETTA, GA 30064(770) 875-8889 Get Directions Write a Review

NPPES record last updated: November 16, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Nov 16, 2021, Sep 8, 2021, May 14, 2021 (3 updates tracked since 2021).

About Clinic Klinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLINIC KLINIC (NPI 1134793102) is a healthcare organization registered as a primary care in Marietta, Georgia and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through April 22, 2027 and lists Jean M. Lominy, Manager, as its authorized official.

NPPES Registry Identity

NPI1134793102
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCLINIC KLINIC
Location Address1750 POWDER SPRINGS RD SW STE 510Marietta, GA 30064-4849
Mailing Address1750 Powder Springs Rd Sw Ste 510Marietta, GA 30064-4849 · (770) 875-8889
Organization SubpartNo
Authorized OfficialJean M. LominyManager · (770) 875-9988
Enumeration DateMay 14, 2021
Last NPPES UpdateNovember 16, 20213 updates tracked since enumeration
NPPES CertifiedNovember 16, 2021
NPI 1134793102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1750 POWDER SPRINGS RD SW STE 510, Marietta, GA 30064

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2221676

Clinic Klinic · Marietta, GA
Active · expires Apr 22, 2027
CLIA Number11D2221676
Laboratory TypeClinic
Certificate Effective DateApril 23, 2025
Certificate Expiration DateApril 22, 2027
Laboratory DirectorManouchka Lominy
Laboratory Phone(770) 876-8889
Laboratory LocationClinic Klinic1750 Powder Springs Road SW, Marietta, GA 30064
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Adult Health)
1750 POWDER SPRINGS RD SW STE 510
MARIETTA, GA 30064

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clinic Klinic's NPI number?

The NPI number for Clinic Klinic is 1134793102. It was assigned to this organization in the NPPES registry on May 14, 2021.

Where is Clinic Klinic located?

Clinic Klinic is located at 1750 Powder Springs Rd SW Ste 510, Marietta, GA 30064. The listed phone number is (770) 875-8889.

What is Clinic Klinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Clinic Klinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2221676) is associated with this NPI, valid through April 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Clinic Klinic accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Clinic Klinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clinic Klinic was last updated on November 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.