11D0709803 CLIA NUMBER - CHILDRENS CLINIC, LLC

Laboratory Demographics

  • CLIA Code: 11D0709803
  • Facility Name: CHILDRENS CLINIC, LLC
  • Facility Address: 354 NEWNAN CROSSING BYPASS, SUITE 200
    NEWNAN, GA
    ZIP 30265
  • Facility Phone: 770 253-0170
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMIKA W. TRAWICK
  • NPI Number: 1538686613
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D0709803
LAB Type Physician Office
Facility Name CHILDRENS CLINIC, LLC
Street 354 NEWNAN CROSSING BYPASS, SUITE 200
City NEWNAN
State GA
ZIP 30265
Phone 770 253-0170
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2025
Certificate Expiration Date 8/11/2027
Facility Type Physician Office
Lab Director JAMIKA W. TRAWICK

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