11D0980676 CLIA NUMBER - STORYBOOK PEDIATRICS, PC

Laboratory Demographics

CLIA Number: 11D0980676

Facility Name: STORYBOOK PEDIATRICS, PC

Facility Address:
130 ENTERPRISE PARKWAY
MCDONOUGH, GA
ZIP 30253
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Facility Phone Number: 678 583-9071

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1821315326

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name Field Value
CLIA Number 11D0980676
LAB Type Physician Office
Facility Name STORYBOOK PEDIATRICS, PC
Street 130 ENTERPRISE PARKWAY
City MCDONOUGH
State GA
ZIP 30253
Phone 678 583-9071
CertificateType 2
CertificateEffectiveDate 3/22/2023
CertificateExpirationDate 3/21/2025
FacilityType Compliance

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This page was last updated on: 4/23/2024