NCR MEDICAL LAB
NPI 1952111981
Clinical Medical Laboratory in Dallas, GA

Active since January 11, 2025CLIA 11D2327347 · Waiver
168 N JOHNSTON ST STE 300, DALLAS, GA 30132(877) 822-2349(877) 341-4313 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 1, 2025, Jan 11, 2025 (2 updates tracked since 2025).

About Ncr Medical Lab NPPES

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

NCR MEDICAL LAB (NPI 1952111981) is a healthcare organization registered as a clinical medical laboratory in Dallas, Georgia and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through July 21, 2027 and lists Naomi Chineye Renfroe, Owner, as its authorized official.

NPPES Registry Identity

NPI1952111981
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameNCR MEDICAL LAB
Location Address168 N JOHNSTON ST STE 300Dallas, GA 30132-4741
Mailing Address168 N Johnston St Ste 300Dallas, GA 30132-4741 · (877) 822-2349 · Fax (877) 341-4313
Fax(877) 341-4313
Organization SubpartNo
Authorized OfficialNaomi Chineye RenfroeOwner · (877) 822-2349
Enumeration DateJanuary 11, 2025
Last NPPES UpdateApril 1, 20252 updates tracked since enumeration
NPPES CertifiedApril 1, 2025
NPI 1952111981 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.
168 N JOHNSTON ST STE 300, Dallas, GA 30132

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 11D2327347

Ncr Medical Lab, LLC · Dallas, GA
Active · expires Jul 21, 2027
CLIA Number11D2327347
Laboratory TypeIndependent
Certificate Effective DateJuly 22, 2025
Certificate Expiration DateJuly 21, 2027
Laboratory DirectorNaomi C. Renfroe
Laboratory Phone(877) 822-2349
Laboratory LocationNcr Medical Lab, LLC168 N Johnston Street, Suite #300, Dallas, GA 30132
CLIA data matches this NPI record on: Name Phone
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.

Specialist/Technologist, Pathology (Histology)
168 N JOHNSTON ST STE 300
DALLAS, GA 30132

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 Ncr Medical Lab's NPI number?

The NPI number for Ncr Medical Lab is 1952111981. It was assigned to this organization in the NPPES registry on January 11, 2025.

Where is Ncr Medical Lab located?

Ncr Medical Lab is located at 168 N Johnston St Ste 300, Dallas, GA 30132. The listed phone number is (877) 822-2349.

What is Ncr Medical Lab's specialty?

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

Does Ncr Medical Lab hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2327347) is associated with this NPI, valid through July 21, 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 Ncr Medical Lab was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.