11D1011812 CLIA NUMBER - GREENWILLOW PEDIATRICS PC

Laboratory Demographics

  • CLIA Code: 11D1011812
  • Facility Name: GREENWILLOW PEDIATRICS PC
  • Facility Address: 3030 MCEVER ROAD SUITE 130
    GAINESVILLE, GA
    ZIP 30504
  • Facility Phone: 678 520-2555
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SEEMA BISHT NADLER MD
  • NPI Number: 1174837298
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D1011812
LAB Type Physician Office
Facility Name GREENWILLOW PEDIATRICS PC
Street 3030 MCEVER ROAD SUITE 130
City GAINESVILLE
State GA
ZIP 30504
Phone 678 520-2555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2025
Certificate Expiration Date 4/22/2027
Facility Type Physician Office
Lab Director SEEMA BISHT NADLER MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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