11D0856033 CLIA NUMBER - COOPER PEDIATRICS

Laboratory Demographics

  • CLIA Code: 11D0856033
  • Facility Name: COOPER PEDIATRICS
  • Facility Address: 3645 A HOWELL FERRY ROAD
    DULUTH, GA
    ZIP 30096
  • Facility Phone: 678 476-4738
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY D. COOPER MD FAAP
  • NPI Number: 1215138524
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D0856033
LAB Type Physician Office
Facility Name COOPER PEDIATRICS
Street 3645 A HOWELL FERRY ROAD
City DULUTH
State GA
ZIP 30096
Phone 678 476-4738
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2024
Certificate Expiration Date 8/23/2026
Facility Type Physician Office
Lab Director JEFFREY D. COOPER MD FAAP

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