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11D0259691 CLIA NUMBER - PEDIATRICS & ADOLESCENT MEDICINE PA

Laboratory Demographics

CLIA Number: 11D0259691

Facility Name: PEDIATRICS & ADOLESCENT MEDICINE PA

Facility Address:
2155 POST OAK TRITT RD STE 100
MARIETTA, GA
ZIP 30062
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Facility Phone Number: 770 973-4700

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1083746838

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name Field Value
CLIA Number 11D0259691
LAB Type Physician Office
Facility Name PEDIATRICS & ADOLESCENT MEDICINE PA
Street 2155 POST OAK TRITT RD STE 100
City MARIETTA
State GA
ZIP 30062
Phone 770 973-4700
CertificateType 4
CertificateEffectiveDate 2/12/2023
CertificateExpirationDate 2/11/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024