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HIBISCUS LAB SERVICES
NPI 1538811740
Clinic/Center in Austell, GA

Active since January 19, 2022CLIA 11D2253353 · Waiver
376 MAXHAM RD STE D, AUSTELL, GA 30168(718) 679-1620 Get Directions Write a Review

NPPES record last updated: February 16, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Feb 16, 2022, Feb 3, 2022, Jan 19, 2022 (3 updates tracked since 2022).

About Hibiscus Lab Services NPPES

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

HIBISCUS LAB SERVICES (NPI 1538811740) is a healthcare organization registered as a clinic/center in Austell, Georgia and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through February 20, 2028 and lists Teena Clarke, Owner, as its authorized official.

NPPES Registry Identity

NPI1538811740
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameHIBISCUS LAB SERVICES
Location Address376 MAXHAM RD STE DAustell, GA 30168-8317
Mailing Address669 Tomahawk PlAustell, GA 30168-6339 · (718) 679-1620
Phone(718) 679-1620
Organization SubpartNo
Authorized OfficialTeena ClarkeOwner · (770) 485-9050
Enumeration DateJanuary 19, 2022
Last NPPES UpdateFebruary 16, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2022
✔ NPI 1538811740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X
376 MAXHAM RD STE D, Austell, GA 30168
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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 11D2253353

Hibiscus Lab Services, LLC · Austell, GA
Active · expires Feb 20, 2028
CLIA Number11D2253353
Laboratory TypeDiagnostic Test Facility
Certificate Effective DateFebruary 21, 2026
Certificate Expiration DateFebruary 20, 2028
Laboratory DirectorTeena Clarke
Laboratory Phone(770) 485-9050
Laboratory LocationHibiscus Lab Services, LLC376 Maxham Road Suite D, Austell, GA 30168
CLIA data matches this NPI record on: Address Name Phone
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 Hibiscus Lab Services's NPI number?

The NPI number for Hibiscus Lab Services is 1538811740. It was assigned to this organization in the NPPES registry on January 19, 2022.

Where is Hibiscus Lab Services located?

Hibiscus Lab Services is located at 376 Maxham Rd Ste D, Austell, GA 30168. The listed phone number is (718) 679-1620.

What is Hibiscus Lab Services's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Hibiscus Lab Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2253353) is associated with this NPI, valid through February 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hibiscus Lab Services was last updated on February 16, 2022. 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.