11D0710697 CLIA NUMBER - MCDONOUGH PEDIATRICS PC

Laboratory Demographics

  • CLIA Code: 11D0710697
  • Facility Name: MCDONOUGH PEDIATRICS PC
  • Facility Address: 101 REGENCY PARK DR SUITE 140
    MCDONOUGH, GA
    ZIP 30253
  • Facility Phone: 770 957-8626
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SEKHAR C. SANKARAN MD
  • NPI Number: 1669668125
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D0710697
LAB Type Physician Office
Facility Name MCDONOUGH PEDIATRICS PC
Street 101 REGENCY PARK DR SUITE 140
City MCDONOUGH
State GA
ZIP 30253
Phone 770 957-8626
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director SEKHAR C. SANKARAN MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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