11D0909399 CLIA NUMBER - DAWSON PEDIATRICS PC

Laboratory Demographics

  • CLIA Code: 11D0909399
  • Facility Name: DAWSON PEDIATRICS PC
  • Facility Address: 300 DAWSON COMMONS CIRCLE SUITE 320
    DAWSONVILLE, GA
    ZIP 30534
  • Facility Phone: 706 216-2771
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: GLENDA V. PETTAWAY
  • NPI Number: 1750435749
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D0909399
LAB Type Physician Office
Facility Name DAWSON PEDIATRICS PC
Street 300 DAWSON COMMONS CIRCLE SUITE 320
City DAWSONVILLE
State GA
ZIP 30534
Phone 706 216-2771
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/11/2025
Certificate Expiration Date 2/10/2027
Facility Type Physician Office
Lab Director GLENDA V. PETTAWAY

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