Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Domain Clinical Laboratory LLC

Organization Clinical Medical Laboratory · NPI 1922341312

Domain Clinical Laboratory LLC is a Clinical Medical Laboratory in Loganville, Georgia. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

367 Athens Hwy Bldg 100
Loganville, GA 30052-2207
Phone: (678) 466-6760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X

Record details

NPI number1922341312
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Garry Seats — Coo · (770) 685-4981
NPI enumeratedApril 3, 2013
Last updated in NPPESApril 24, 2013
Mailing addressPo Box 492854, Lawrenceville, GA 30049-0048

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