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11D0684556 CLIA NUMBER - ROSWELL PEDIATRIC CENTER PC

Laboratory Demographics

CLIA Number: 11D0684556

Facility Name: ROSWELL PEDIATRIC CENTER PC

Facility Address:
11525 HAYNES BRIDGE ROAD, SUITE 200
ALPHARETTA, GA
ZIP 30009
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Facility Phone Number: 770 751-0800

Facility Type: Physician Office

Certificate Type: Accreditation
NPI Number: 1487772596

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name Field Value
CLIA Number 11D0684556
LAB Type Physician Office
Facility Name ROSWELL PEDIATRIC CENTER PC
Street 11525 HAYNES BRIDGE ROAD, SUITE 200
City ALPHARETTA
State GA
ZIP 30009
Phone 770 751-0800
CertificateType 1
CertificateEffectiveDate 11/6/2023
CertificateExpirationDate 11/5/2025
FacilityType Accreditation

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