11D0938974 CLIA NUMBER - CUMMING PEDIATRIC GROUP PC

Laboratory Demographics

  • CLIA Code: 11D0938974
  • Facility Name: CUMMING PEDIATRIC GROUP PC
  • Facility Address: 1800 NORTHSIDE FORSYTH DRIVE SUITE 460
    CUMMING, GA
    ZIP 30041
  • Facility Phone: 770 888-8888
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. PANYAVEE KHAN
  • NPI Number: 1790942191
  • Taxonomy: 173000000X - Legal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0938974
LAB Type Independent
Facility Name CUMMING PEDIATRIC GROUP PC
Street 1800 NORTHSIDE FORSYTH DRIVE SUITE 460
City CUMMING
State GA
ZIP 30041
Phone 770 888-8888
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 11/19/2024
Certificate Expiration Date 11/18/2026
Facility Type Independent
Lab Director DR. PANYAVEE KHAN

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