11D0671317 CLIA NUMBER - CONYERS PEDIATRICS PC

Laboratory Demographics

  • CLIA Code: 11D0671317
  • Facility Name: CONYERS PEDIATRICS PC
  • Facility Address: 1277-B WELLBROOK CIRCLE NE
    CONYERS, GA
    ZIP 30012
  • Facility Phone: 770 922-5745
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: HUGO A. SCORNIK
  • NPI Number: 1831217157
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D0671317
LAB Type Physician Office
Facility Name CONYERS PEDIATRICS PC
Street 1277-B WELLBROOK CIRCLE NE
City CONYERS
State GA
ZIP 30012
Phone 770 922-5745
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 8/5/2025
Certificate Expiration Date 8/4/2027
Facility Type Physician Office
Lab Director HUGO A. SCORNIK

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