11D1031386 CLIA NUMBER - CHATTAHOOCHEE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 11D1031386
  • Facility Name: CHATTAHOOCHEE PEDIATRICS
  • Facility Address: 3155 NORTH POINT PARKWAY BUILDING D SUITE 200
    ALPHARETTA, GA
    ZIP 30005
  • Facility Phone: 770 667-6967
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VOUSHALI B. KUTE
  • NPI Number: 1114045770
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D1031386
LAB Type Physician Office
Facility Name CHATTAHOOCHEE PEDIATRICS
Street 3155 NORTH POINT PARKWAY BUILDING D SUITE 200
City ALPHARETTA
State GA
ZIP 30005
Phone 770 667-6967
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2024
Certificate Expiration Date 9/28/2026
Facility Type Physician Office
Lab Director VOUSHALI B. KUTE

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