11D0934728 CLIA NUMBER - DUNWOODY PEDIATRICS

Laboratory Demographics

  • CLIA Code: 11D0934728
  • Facility Name: DUNWOODY PEDIATRICS
  • Facility Address: 3300 OLD MILTON PARKWAY SUITE 200
    ALPHARETTA, GA
    ZIP 30005
  • Facility Phone: 770 394-2358
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GLORIA A. BERENSON
  • NPI Number: 1063594430
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D0934728
LAB Type Physician Office
Facility Name DUNWOODY PEDIATRICS
Street 3300 OLD MILTON PARKWAY SUITE 200
City ALPHARETTA
State GA
ZIP 30005
Phone 770 394-2358
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2025
Certificate Expiration Date 3/17/2027
Facility Type Physician Office
Lab Director GLORIA A. BERENSON

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