11D0667825 CLIA NUMBER - SNELLVILLE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 11D0667825
  • Facility Name: SNELLVILLE PEDIATRICS
  • Facility Address: 1700 TREE LANE RD SUITE 110
    SNELLVILLE, GA
    ZIP 30078
  • Facility Phone: 770 972-0860
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JOSEPHINE R. DUNAGAN
  • NPI Number: 1154453967
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D0667825
LAB Type Physician Office
Facility Name SNELLVILLE PEDIATRICS
Street 1700 TREE LANE RD SUITE 110
City SNELLVILLE
State GA
ZIP 30078
Phone 770 972-0860
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 8/17/2024
Certificate Expiration Date 8/16/2026
Facility Type Physician Office
Lab Director JOSEPHINE R. DUNAGAN

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