Confirmatrix Laboratory, Inc.

Debarred entity

United States. Named in 6 sanctions listings.

Summary

License number: PROMISe#103019967

Sanctions and listings6

Effective
11 Jan 2018
Official designation
Pennsylvania Department of Human servicesUS Delaware Medicaid Sanctioned ProvidersUnited States
REVOCATION Active-Reporting only Provider agreement terminated. Recission Letter received effective 8/2/21
medicaid.dhss.delaware.gov
Effective
3 May 2018
Official designation
South Carolina Department of Health and Human ServicesUS South Carolina Excluded ProvidersUnited StatesTerminated for cause
scdhhs.gov
Effective
17 Jul 2018
Official designation
Louisiana Department of HealthUS Louisiana Department of Health Adverse Actions ListUnited States
42 CFR 455.416(c)
adverseactions.ldh.la.gov
Effective
15 Mar 2018
Official designation
Indiana Family and Social Services AdministrationUS Indiana Medicaid Terminated Provider ListUnited States
in.gov
Effective
12 Dec 2017
Official designation
Iowa Health & Human ServicesUS Iowa Medicaid Terminated Provider ListUnited States
Sanction end as published: Indefinite
Termination
411 IAC 79.2(2)(f)(r)
hhs.iowa.gov
Effective
12 Jan 2018
Official designation
Mississippi Division of MedicaidUS Mississippi Medicaid Terminated Provider ListUnited States
Exclusion by Other Agencies or Programs
medicaid.ms.gov

Identifiers1

Identifier	Number
NPI number	1093069270

Other names3

Also known as3

Confirmatrix Laboratory Inc.Confirmatrix Laboratory IncConfirmatrix Laboratory

Addresses3

Lawrenceville, GA 30045
1170 Cedar Road East
Lawrenceville, GA

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