11D0257583 CLIA NUMBER - SHAH PEDIATRICS, INC

Laboratory Demographics

  • CLIA Code: 11D0257583
  • Facility Name: SHAH PEDIATRICS, INC
  • Facility Address: 310 PHILIP BLVD
    LAWRENCEVILLE, GA
    ZIP 30046
  • Facility Phone: 770 962-3141
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TARU N. SHAH
  • NPI Number: 1922269794
  • Taxonomy: 2080P0202X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D0257583
LAB Type Physician Office
Facility Name SHAH PEDIATRICS, INC
Street 310 PHILIP BLVD
City LAWRENCEVILLE
State GA
ZIP 30046
Phone 770 962-3141
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2023
Certificate Expiration Date 10/30/2025
Facility Type Physician Office
Lab Director TARU N. SHAH

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