11D0975646 CLIA NUMBER - SANDY PLAINS PEDIATRICS PC

Laboratory Demographics

  • CLIA Code: 11D0975646
  • Facility Name: SANDY PLAINS PEDIATRICS PC
  • Facility Address: 3225 SHALLOWFORD RD BLDG 1300
    MARIETTA, GA
    ZIP 30062
  • Facility Phone: 678 560-7160
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: LAURETTE L. HO
  • NPI Number: 1639346471
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D0975646
LAB Type Physician Office
Facility Name SANDY PLAINS PEDIATRICS PC
Street 3225 SHALLOWFORD RD BLDG 1300
City MARIETTA
State GA
ZIP 30062
Phone 678 560-7160
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 7/21/2024
Certificate Expiration Date 7/20/2026
Facility Type Physician Office
Lab Director LAURETTE L. HO

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