11D0688651 CLIA NUMBER - COBB PEDIATRIC ASSOCIATES, PC

Laboratory Demographics

  • CLIA Code: 11D0688651
  • Facility Name: COBB PEDIATRIC ASSOCIATES, PC
  • Facility Address: 1060 WINDY HILL ROAD
    SMYRNA, GA
    ZIP 30080
  • Facility Phone: 770 941-7709
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FAYE SPECTOR
  • NPI Number: 1750434551
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D0688651
LAB Type Physician Office
Facility Name COBB PEDIATRIC ASSOCIATES, PC
Street 1060 WINDY HILL ROAD
City SMYRNA
State GA
ZIP 30080
Phone 770 941-7709
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2025
Certificate Expiration Date 9/21/2027
Facility Type Physician Office
Lab Director FAYE SPECTOR

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