11D0261389 CLIA NUMBER - PEDIATRIC ASSOCIATES

Laboratory Demographics

  • CLIA Code: 11D0261389
  • Facility Name: PEDIATRIC ASSOCIATES
  • Facility Address: 1485 JESSIE JEWELL PARKWAY, STE 200
    GAINESVILLE, GA
    ZIP 30501
  • Facility Phone: 770 534-5255
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JENNIFER ROYALL
  • NPI Number: 1245406719
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D0261389
LAB Type Physician Office
Facility Name PEDIATRIC ASSOCIATES
Street 1485 JESSIE JEWELL PARKWAY, STE 200
City GAINESVILLE
State GA
ZIP 30501
Phone 770 534-5255
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director JENNIFER ROYALL

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