01D2182182 CLIA NUMBER - HOMETOWN PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 01D2182182
  • Facility Name: HOMETOWN PEDIATRICS LLC
  • Facility Address: 22136 MEDICAL VILLAGE DRIVE
    ATHENS, AL
    ZIP 35613
  • Facility Phone: 256 996-0609
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PETER STROGOV
  • NPI Number: 1669091120
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 01D2182182
LAB Type Physician Office
Facility Name HOMETOWN PEDIATRICS LLC
Street 22136 MEDICAL VILLAGE DRIVE
City ATHENS
State AL
ZIP 35613
Phone 256 996-0609
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2024
Certificate Expiration Date 4/15/2026
Facility Type Physician Office
Lab Director PETER STROGOV

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This page was last updated on: 9/29/2025