Company

ATCG Laboratory

Debarred entity

United States. Named in 3 sanctions listings.

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Summary

License number: 05D2104354

License number: N/A

Sanctions and listings3

  • Effective
    17 Feb 2021

    Official designation

    Kentucky Department for Medicaid ServicesUS Kentucky Terminated and Excluded ProvidersUnited States

    Violation of KMAP Policy

    chfs.ky.gov

  • Effective
    17 Aug 2022

    Official designation

    South Carolina Department of Health and Human ServicesUS South Carolina Excluded ProvidersUnited StatesTerminated for cause

    scdhhs.gov

  • Effective
    10 Sep 2022

    Official designation

    Michigan Department of Health & Human ServicesUS Michigan Medicaid Sanctioned Provider ListUnited States

    Terminated

    michigan.gov

Identifiers1

IdentifierNumber
NPI number1316311863

Other names1

Also known as1

Genetic Testing Laboratory

Addresses2

  • Irvine, CA, MI

  • Irvine, CA 92618

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