11D0700435 CLIA NUMBER - PEACH PEDIATRICS, LLC

Laboratory Demographics

  • CLIA Code: 11D0700435
  • Facility Name: PEACH PEDIATRICS, LLC
  • Facility Address: 6010 SINGLETON RD SUITE 209
    NORCROSS, GA
    ZIP 30093
  • Facility Phone: (770) 248-0200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHAH K. MONAL
  • NPI Number: 1447075403
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D0700435
LAB Type Physician Office
Facility Name PEACH PEDIATRICS, LLC
Street 6010 SINGLETON RD SUITE 209
City NORCROSS
State GA
ZIP 30093
Phone 7702480200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2026
Certificate Expiration Date 3/15/2028
Facility Type Physician Office
Lab Director SHAH K. MONAL

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This page was last updated on: 5/18/2026