11D0671446 CLIA NUMBER - CHILDRENS MEDICINE PC-LAWRENCEVILLE

Laboratory Demographics

  • CLIA Code: 11D0671446
  • Facility Name: CHILDRENS MEDICINE PC-LAWRENCEVILLE
  • Facility Address: 3685 LAWRENCEVILLE HWY SUITE 100
    LAWRENCEVILLE, GA
    ZIP 30044
  • Facility Phone: 770 406-2500
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: RENEE J. RENFUS
  • NPI Number: 1508975624
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D0671446
LAB Type Physician Office
Facility Name CHILDRENS MEDICINE PC-LAWRENCEVILLE
Street 3685 LAWRENCEVILLE HWY SUITE 100
City LAWRENCEVILLE
State GA
ZIP 30044
Phone 770 406-2500
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 10/1/2023
Certificate Expiration Date 9/30/2025
Facility Type Physician Office
Lab Director RENEE J. RENFUS

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