11D0256502 CLIA NUMBER - BI-COUNTY PEDIATRICS

Laboratory Demographics

  • CLIA Code: 11D0256502
  • Facility Name: BI-COUNTY PEDIATRICS
  • Facility Address: 6128D PRESTLEY MILL RD
    DOUGLASVILLE, GA
    ZIP 30134
  • Facility Phone: 770 949-3888
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAYMOND P. FLOWERS III DO
  • NPI Number: 1366569485
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D0256502
LAB Type Physician Office
Facility Name BI-COUNTY PEDIATRICS
Street 6128D PRESTLEY MILL RD
City DOUGLASVILLE
State GA
ZIP 30134
Phone 770 949-3888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2025
Certificate Expiration Date 5/25/2027
Facility Type Physician Office
Lab Director RAYMOND P. FLOWERS III DO

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