MOORE DIAGNOSTIC LABORATORY, INC.
NPI 1629677034
Clinical Medical Laboratory in Mableton, GA

Active since October 19, 2020CLIA 11D2195983 · Waiver
5590 MABLETON PKWY SW STE 174, MABLETON, GA 30126(678) 920-0058 Get Directions Write a Review

NPPES record last updated: September 8, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 8, 2022, Nov 24, 2020, Oct 19, 2020 (3 updates tracked since 2020).

About Moore Diagnostic Laboratory, Inc. NPPES

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

MOORE DIAGNOSTIC LABORATORY, INC. (NPI 1629677034) is a healthcare organization registered as a clinical medical laboratory in Mableton, Georgia and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through March 14, 2027 and lists Marlene June Moore, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1629677034
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameMOORE DIAGNOSTIC LABORATORY, INC.
Location Address5590 MABLETON PKWY SW STE 174Mableton, GA 30126-3303
Mailing Address5590 Mableton Pkwy Sw Ste 174Mableton, GA 30126-3303 · (678) 920-0058
Organization SubpartNo
Authorized OfficialMarlene June MoorePresident/ceo · (678) 920-0058
Enumeration DateOctober 19, 2020
Last NPPES UpdateSeptember 8, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2022
NPI 1629677034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
5590 MABLETON PKWY SW STE 174, Mableton, GA 30126

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 11D2195983

Moore Diagnostic Laboratory, Inc · Mableton, GA
Active · expires Mar 14, 2027
CLIA Number11D2195983
Laboratory TypeIndependent
Certificate Effective DateMarch 15, 2025
Certificate Expiration DateMarch 14, 2027
Laboratory DirectorMarlene Moore
Laboratory Phone(678) 540-6620
Laboratory LocationMoore Diagnostic Laboratory, Inc5590 Mableton Parkway, Suite 174, Mableton, GA 30126
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 Moore Diagnostic Laboratory, Inc.'s NPI number?

The NPI number for Moore Diagnostic Laboratory, Inc. is 1629677034. It was assigned to this organization in the NPPES registry on October 19, 2020.

Where is Moore Diagnostic Laboratory, Inc. located?

Moore Diagnostic Laboratory, Inc. is located at 5590 Mableton Pkwy SW Ste 174, Mableton, GA 30126. The listed phone number is (678) 920-0058.

What is Moore Diagnostic Laboratory, Inc.'s specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Moore Diagnostic Laboratory, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2195983) is associated with this NPI, valid through March 14, 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 Moore Diagnostic Laboratory, Inc. was last updated on September 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.