11D0957896 CLIA NUMBER - CARTERSVILLE PEDIATRIC ASSOCIATES

Laboratory Demographics

  • CLIA Code: 11D0957896
  • Facility Name: CARTERSVILLE PEDIATRIC ASSOCIATES
  • Facility Address: 958 A, J F HARRIS PKWY
    CARTERSVILLE, GA
    ZIP 30120
  • Facility Phone: (770) 386-3011
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM PAYNE
  • NPI Number: 1942326491
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D0957896
LAB Type Physician Office
Facility Name CARTERSVILLE PEDIATRIC ASSOCIATES
Street 958 A, J F HARRIS PKWY
City CARTERSVILLE
State GA
ZIP 30120
Phone 7703863011
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2025
Certificate Expiration Date 11/19/2027
Facility Type Physician Office
Lab Director WILLIAM PAYNE

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This page was last updated on: 5/18/2026