11D1007950 CLIA NUMBER - UNITED PEDIATRICS PC

Laboratory Demographics

  • CLIA Code: 11D1007950
  • Facility Name: UNITED PEDIATRICS PC
  • Facility Address: 3305 SUGARLOAF PARKWAY
    LAWRENCEVILLE, GA
    ZIP 30044
  • Facility Phone: 770 717-0033
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TAYABA FATEMA
  • NPI Number: 1003119934
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D1007950
LAB Type Physician Office
Facility Name UNITED PEDIATRICS PC
Street 3305 SUGARLOAF PARKWAY
City LAWRENCEVILLE
State GA
ZIP 30044
Phone 770 717-0033
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2025
Certificate Expiration Date 1/6/2027
Facility Type Physician Office
Lab Director TAYABA FATEMA

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