11D0722293 CLIA NUMBER - JONESBORO PEDIATRICS

Laboratory Demographics

  • CLIA Code: 11D0722293
  • Facility Name: JONESBORO PEDIATRICS
  • Facility Address: 236 ARROWHEAD BLVD
    JONESBORO, GA
    ZIP 30236
  • Facility Phone: 770 478-9240
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROMEO MORILES
  • NPI Number: 1225296155
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D0722293
LAB Type Physician Office
Facility Name JONESBORO PEDIATRICS
Street 236 ARROWHEAD BLVD
City JONESBORO
State GA
ZIP 30236
Phone 770 478-9240
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Physician Office
Lab Director ROMEO MORILES

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