11D0257335 CLIA NUMBER - GRIFFIN PEDIATRIC CLINIC

Laboratory Demographics

  • CLIA Code: 11D0257335
  • Facility Name: GRIFFIN PEDIATRIC CLINIC
  • Facility Address: 1900 ZEBULON ROAD
    GRIFFIN, GA
    ZIP 30224
  • Facility Phone: 770 227-5510
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. ERIC MCBRYDE
  • NPI Number: 1538362876
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D0257335
LAB Type Physician Office
Facility Name GRIFFIN PEDIATRIC CLINIC
Street 1900 ZEBULON ROAD
City GRIFFIN
State GA
ZIP 30224
Phone 770 227-5510
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/19/2025
Certificate Expiration Date 9/18/2027
Facility Type Physician Office
Lab Director DR. ERIC MCBRYDE

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