11D0977717 CLIA NUMBER - CHILDRENS CARE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 11D0977717
  • Facility Name: CHILDRENS CARE PEDIATRICS
  • Facility Address: 5445 MERIDIAN MARK RD SUITE 380
    ATLANTA, GA
    ZIP 30342
  • Facility Phone: 404 845-1261
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN M. THOMAS
  • NPI Number: 1073886370
  • Taxonomy: 363LP0200X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 11D0977717
LAB Type Physician Office
Facility Name CHILDRENS CARE PEDIATRICS
Street 5445 MERIDIAN MARK RD SUITE 380
City ATLANTA
State GA
ZIP 30342
Phone 404 845-1261
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/5/2024
Certificate Expiration Date 9/4/2026
Facility Type Physician Office
Lab Director JOHN M. THOMAS

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