11D0982370 CLIA NUMBER - BRIARCLIFF PEDIATRICS PC

Laboratory Demographics

  • CLIA Code: 11D0982370
  • Facility Name: BRIARCLIFF PEDIATRICS PC
  • Facility Address: 2849 HENDERSON MILL ROAD, SUITE A
    ATLANTA, GA
    ZIP 30341
  • Facility Phone: 770 939-7676
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAYMOND J. DEEB
  • NPI Number: 1316070493
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D0982370
LAB Type Physician Office
Facility Name BRIARCLIFF PEDIATRICS PC
Street 2849 HENDERSON MILL ROAD, SUITE A
City ATLANTA
State GA
ZIP 30341
Phone 770 939-7676
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2025
Certificate Expiration Date 1/22/2027
Facility Type Physician Office
Lab Director RAYMOND J. DEEB

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This page was last updated on: 6/4/2025