11D0897923 CLIA NUMBER - PEDIA DOC CHILDRENS MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 11D0897923
  • Facility Name: PEDIA DOC CHILDRENS MEDICAL CENTER
  • Facility Address: 3088 CAMPBELLTON ROAD SOUTHWEST
    ATLANTA, GA
    ZIP 30311
  • Facility Phone: 404 344-2828
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RACHELLE D. SMITH MD
  • NPI Number: 1518110451
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D0897923
LAB Type Physician Office
Facility Name PEDIA DOC CHILDRENS MEDICAL CENTER
Street 3088 CAMPBELLTON ROAD SOUTHWEST
City ATLANTA
State GA
ZIP 30311
Phone 404 344-2828
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2025
Certificate Expiration Date 4/6/2027
Facility Type Physician Office
Lab Director RACHELLE D. SMITH MD

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