11D0949605 CLIA NUMBER - CHILDREN FIRST PEDIATRICS

Laboratory Demographics

  • CLIA Code: 11D0949605
  • Facility Name: CHILDREN FIRST PEDIATRICS
  • Facility Address: 101 BECKETT LANE SUITE 502
    FAYETTEVILLE, GA
    ZIP 30214
  • Facility Phone: 678 817-1000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VALARIE W. MANLEY
  • NPI Number: 1629269865
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D0949605
LAB Type Physician Office
Facility Name CHILDREN FIRST PEDIATRICS
Street 101 BECKETT LANE SUITE 502
City FAYETTEVILLE
State GA
ZIP 30214
Phone 678 817-1000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2024
Certificate Expiration Date 8/5/2026
Facility Type Physician Office
Lab Director VALARIE W. MANLEY

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