11D0999979 CLIA NUMBER - PEDIATRIC PARTNERS LLC

Laboratory Demographics

  • CLIA Code: 11D0999979
  • Facility Name: PEDIATRIC PARTNERS LLC
  • Facility Address: 1500 LANGFORD DRIVE, SUITE 100
    WATKINSVILLE, GA
    ZIP 30677
  • Facility Phone: 706 548-1216
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: VAN MCCORKLE
  • NPI Number: 1972591238
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D0999979
LAB Type Physician Office
Facility Name PEDIATRIC PARTNERS LLC
Street 1500 LANGFORD DRIVE, SUITE 100
City WATKINSVILLE
State GA
ZIP 30677
Phone 706 548-1216
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 9/4/2025
Certificate Expiration Date 9/3/2027
Facility Type Physician Office
Lab Director VAN MCCORKLE

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