11D0890261 CLIA NUMBER - PEDIATRIC AND NEONATAL CLINICS PC

Laboratory Demographics

  • CLIA Code: 11D0890261
  • Facility Name: PEDIATRIC AND NEONATAL CLINICS PC
  • Facility Address: 8503 CAMPBELLTON STREET
    DOUGLASVILLE, GA
    ZIP 30134
  • Facility Phone: 770 949-9985
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ABOLLHASSAN YAMIN MD
  • NPI Number: 1447498944
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 11D0890261
LAB Type Physician Office
Facility Name PEDIATRIC AND NEONATAL CLINICS PC
Street 8503 CAMPBELLTON STREET
City DOUGLASVILLE
State GA
ZIP 30134
Phone 770 949-9985
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2024
Certificate Expiration Date 8/18/2026
Facility Type Physician Office
Lab Director ABOLLHASSAN YAMIN MD

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