11D0703348 CLIA NUMBER - SOUTHERN CRESCENT PEDIATRICS PC

Laboratory Demographics

  • CLIA Code: 11D0703348
  • Facility Name: SOUTHERN CRESCENT PEDIATRICS PC
  • Facility Address: 150 MEDICAL BLVD SUITE B
    STOCKBRIDGE, GA
    ZIP 30281
  • Facility Phone: 770 389-9944
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: LANKALA REDDY MD
  • NPI Number: 1437145950
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D0703348
LAB Type Physician Office
Facility Name SOUTHERN CRESCENT PEDIATRICS PC
Street 150 MEDICAL BLVD SUITE B
City STOCKBRIDGE
State GA
ZIP 30281
Phone 770 389-9944
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 11/12/2023
Certificate Expiration Date 11/11/2025
Facility Type Physician Office
Lab Director LANKALA REDDY MD

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