11D0987497 CLIA NUMBER - PROMISE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 11D0987497
  • Facility Name: PROMISE PEDIATRICS
  • Facility Address: 375 BOYNTON DRIVE
    RINGGOLD, GA
    ZIP 30736
  • Facility Phone: 706 937-3331
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: HENRY J. BAUGHMAN
  • NPI Number: 1548496169
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D0987497
LAB Type Physician Office
Facility Name PROMISE PEDIATRICS
Street 375 BOYNTON DRIVE
City RINGGOLD
State GA
ZIP 30736
Phone 706 937-3331
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 8/27/2025
Certificate Expiration Date 8/26/2027
Facility Type Physician Office
Lab Director HENRY J. BAUGHMAN

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