11D0264280 CLIA NUMBER - NORTHSIDE PEDIATRICS PC

Laboratory Demographics

  • CLIA Code: 11D0264280
  • Facility Name: NORTHSIDE PEDIATRICS PC
  • Facility Address: 145 N CREST BLVD
    MACON, GA
    ZIP 31210
  • Facility Phone: 478 477-4044
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: HOLLY A. HOENES MD
  • NPI Number: 1598232944
  • Taxonomy: 2080A0000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D0264280
LAB Type Physician Office
Facility Name NORTHSIDE PEDIATRICS PC
Street 145 N CREST BLVD
City MACON
State GA
ZIP 31210
Phone 478 477-4044
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 7/8/2024
Certificate Expiration Date 7/7/2026
Facility Type Physician Office
Lab Director HOLLY A. HOENES MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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