11D0873598 CLIA NUMBER - MEDLOCK PEDIATRICS

Laboratory Demographics

  • CLIA Code: 11D0873598
  • Facility Name: MEDLOCK PEDIATRICS
  • Facility Address: 3497 DULUTH PARK LANE SUITE 200
    DULUTH, GA
    ZIP 30096
  • Facility Phone: 770 813-9775
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIA A. BATLLE MD
  • NPI Number: 1053416669
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D0873598
LAB Type Physician Office
Facility Name MEDLOCK PEDIATRICS
Street 3497 DULUTH PARK LANE SUITE 200
City DULUTH
State GA
ZIP 30096
Phone 770 813-9775
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2025
Certificate Expiration Date 6/6/2027
Facility Type Physician Office
Lab Director MARIA A. BATLLE MD

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