11D0877849 CLIA NUMBER - CUMBERLAND PEDIATRICS PC

Laboratory Demographics

  • CLIA Code: 11D0877849
  • Facility Name: CUMBERLAND PEDIATRICS PC
  • Facility Address: 1405 FRANKLIN ROAD
    MARIETTA, GA
    ZIP 30067
  • Facility Phone: 770 319-8989
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KAREN A. MOORE MD
  • NPI Number: 1972684660
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D0877849
LAB Type Physician Office
Facility Name CUMBERLAND PEDIATRICS PC
Street 1405 FRANKLIN ROAD
City MARIETTA
State GA
ZIP 30067
Phone 770 319-8989
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2023
Certificate Expiration Date 11/3/2025
Facility Type Physician Office
Lab Director KAREN A. MOORE MD

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