Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MG LAB SERVICES LLC.
NPI 1508774589
Clinic/Center - Public Health, State or Local in Locust Grove, GA

Active since August 31, 2026CLIA 11D2328586 · Waiver
480 GROVE PARK DR # 30248, LOCUST GROVE, GA 30248(404) 834-9934 Get Directions Write a Review

NPPES record added: August 31, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Mg Lab Services Llc. NPPES

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

MG LAB SERVICES LLC. (NPI 1508774589) is a healthcare organization registered as a public health, state or local in Locust Grove, Georgia and active in the NPI registry since August 2026. The organization holds a CLIA Waiver certificate valid through August 12, 2027 and lists Marjoriei Petit, Owner, as its authorized official.

NPPES Registry Identity

NPI1508774589
Entity TypeOrganization
Primary Taxonomy261QP0905X
Legal Business NameMG LAB SERVICES LLC.
Location Address480 GROVE PARK DR # 30248Locust Grove, GA 30248-4573
Mailing Address480 Grove Park DrLocust Grove, GA 30248-4573 · (404) 834-9934
Organization SubpartNo
Authorized OfficialMarjoriei PetitOwner · (404) 834-9934
Enumeration DateAugust 31, 2026
NPPES CertifiedAugust 31, 2026
✔ NPI 1508774589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Public Health, State or LocalAmbulatory Health Care Facilities
Taxonomy Code261QP0905X
480 GROVE PARK DR # 30248, Locust Grove, GA 30248

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 11D2328586

Mg Lab Services · Locust Grove, GA
Active · expires Aug 12, 2027
CLIA Number11D2328586
Laboratory TypeMobile Laboratory
Certificate Effective DateAugust 13, 2025
Certificate Expiration DateAugust 12, 2027
Laboratory DirectorMarjorie Petit
Laboratory Phone(470) 894-0077
Laboratory LocationMg Lab Services31 Pine Grove Road, Locust Grove, GA 30248
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Mg Lab Services LLC.'s NPI number?

The NPI number for Mg Lab Services LLC. is 1508774589. It was assigned to this organization in the NPPES registry on August 31, 2026.

Where is Mg Lab Services LLC. located?

Mg Lab Services LLC. is located at 480 Grove Park Dr # 30248, Locust Grove, GA 30248. The listed phone number is (404) 834-9934.

What is Mg Lab Services LLC.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Public Health, State or Local, with taxonomy code 261QP0905X.

Does Mg Lab Services LLC. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2328586) is associated with this NPI, valid through August 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mg Lab Services LLC. was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.