11D0265768 CLIA NUMBER - ALBANY AREA PEDIATRICS

Laboratory Demographics

  • CLIA Code: 11D0265768
  • Facility Name: ALBANY AREA PEDIATRICS
  • Facility Address: 1801 PALMYRA ROAD
    ALBANY, GA
    ZIP 31701
  • Facility Phone: 229 434-1400
  • Facility Type: Other - FQHC
  • Facility Type: Waiver
  • Lab Director: DANICE B. ROBERTS
  • NPI Number: 1396965893
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D0265768
LAB Type Other - FQHC
Facility Name ALBANY AREA PEDIATRICS
Street 1801 PALMYRA ROAD
City ALBANY
State GA
ZIP 31701
Phone 229 434-1400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/4/2024
Certificate Expiration Date 9/3/2026
Facility Type Other - FQHC
Lab Director DANICE B. ROBERTS

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