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11D0987497 CLIA NUMBER - PROMISE PEDIATRICS

Laboratory Demographics

CLIA Number: 11D0987497

Facility Name: PROMISE PEDIATRICS

Facility Address:
375 BOYNTON DRIVE
RINGGOLD, GA
ZIP 30736
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Facility Phone Number: 706 937-3331

Facility Type: Physician Office

Certificate Type: Certificate of Compliance
NPI Number: 1548496169

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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
CertificateType 2
CertificateEffectiveDate 8/27/2023
CertificateExpirationDate 8/26/2025
FacilityType Compliance

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