11D0263137 CLIA NUMBER - AUGUSTA PEDIATRIC ASSOCIATES PC

Laboratory Demographics

  • CLIA Code: 11D0263137
  • Facility Name: AUGUSTA PEDIATRIC ASSOCIATES PC
  • Facility Address: 1245 AUGUSTA WEST PARKWAY
    AUGUSTA, GA
    ZIP 30909
  • Facility Phone: 706 868-0389
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AARON HANNA
  • NPI Number: 1275593790
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D0263137
LAB Type Physician Office
Facility Name AUGUSTA PEDIATRIC ASSOCIATES PC
Street 1245 AUGUSTA WEST PARKWAY
City AUGUSTA
State GA
ZIP 30909
Phone 706 868-0389
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2024
Certificate Expiration Date 6/21/2026
Facility Type Physician Office
Lab Director AARON HANNA

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