11D0681282 CLIA NUMBER - PEDIATRIC PARTNERS OF GWINNETT

Laboratory Demographics

CLIA Number: 11D0681282

Facility Name: PEDIATRIC PARTNERS OF GWINNETT

Facility Address:
6450 SPALDING DRIVE, SUITE A
PEACHTREE CORNERS, GA
ZIP 30092
Get Directions

Facility Phone Number: 770 923-6400

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1326070673

Taxonomy: 251J00000X - Nursing Care
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.

CLIA Record

Field Name	Field Value
CLIA Number	11D0681282
LAB Type	Physician Office
Facility Name	PEDIATRIC PARTNERS OF GWINNETT
Street	6450 SPALDING DRIVE, SUITE A
City	PEACHTREE CORNERS
State	GA
ZIP	30092
Phone	770 923-6400
CertificateType	2
CertificateEffectiveDate	10/14/2022
CertificateExpirationDate	10/13/2024
FacilityType	Compliance

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024