11D0685804 CLIA NUMBER - EASTMAN PEDIATRIC CLINIC

Laboratory Demographics

  • CLIA Code: 11D0685804
  • Facility Name: EASTMAN PEDIATRIC CLINIC
  • Facility Address: 1223 PLAZA AVE
    EASTMAN, GA
    ZIP 31023
  • Facility Phone: 478 374-3814
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JOHN R. PEEPLES MD
  • NPI Number: 1104034511
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D0685804
LAB Type Physician Office
Facility Name EASTMAN PEDIATRIC CLINIC
Street 1223 PLAZA AVE
City EASTMAN
State GA
ZIP 31023
Phone 478 374-3814
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 12/1/2024
Certificate Expiration Date 11/30/2026
Facility Type Physician Office
Lab Director JOHN R. PEEPLES MD

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