11D0994693 CLIA NUMBER - WHITE'S PEDIATRICS OF CALHOUN

Laboratory Demographics

  • CLIA Code: 11D0994693
  • Facility Name: WHITE'S PEDIATRICS OF CALHOUN
  • Facility Address: 105 LAUREL CREEK ROAD SUITE 1
    CALHOUN, GA
    ZIP 30701
  • Facility Phone: 706 876-2130
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFEORY H. WHITE
  • NPI Number: 1851692016
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D0994693
LAB Type Physician Office
Facility Name WHITE'S PEDIATRICS OF CALHOUN
Street 105 LAUREL CREEK ROAD SUITE 1
City CALHOUN
State GA
ZIP 30701
Phone 706 876-2130
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2025
Certificate Expiration Date 7/17/2027
Facility Type Physician Office
Lab Director JEFFEORY H. WHITE

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