11D1028117 CLIA NUMBER - GA KIDZ PEDIATRICS PC

Laboratory Demographics

  • CLIA Code: 11D1028117
  • Facility Name: GA KIDZ PEDIATRICS PC
  • Facility Address: 146 SYLVAN DRIVE
    JACKSON, GA
    ZIP 30233
  • Facility Phone: 770 775-4540
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LEZLIE F. BILES MD
  • NPI Number: 1306973151
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D1028117
LAB Type Physician Office
Facility Name GA KIDZ PEDIATRICS PC
Street 146 SYLVAN DRIVE
City JACKSON
State GA
ZIP 30233
Phone 770 775-4540
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2024
Certificate Expiration Date 1/6/2026
Facility Type Physician Office
Lab Director LEZLIE F. BILES MD

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