11D0988967 CLIA NUMBER - RINGGOLD PEDIATRIC CLINIC, PC

Laboratory Demographics

  • CLIA Code: 11D0988967
  • Facility Name: RINGGOLD PEDIATRIC CLINIC, PC
  • Facility Address: 7494 BATTLEFIELD PARKWAY
    RINGGOLD, GA
    ZIP 30736
  • Facility Phone: 706 935-5437
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THOMAS D. HO
  • NPI Number: 1366400533
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D0988967
LAB Type Physician Office
Facility Name RINGGOLD PEDIATRIC CLINIC, PC
Street 7494 BATTLEFIELD PARKWAY
City RINGGOLD
State GA
ZIP 30736
Phone 706 935-5437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2023
Certificate Expiration Date 8/16/2025
Facility Type Physician Office
Lab Director THOMAS D. HO

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This page was last updated on: 3/20/2025