11D1037139 CLIA NUMBER - BADIA MEDICAL LLC DBA LIFEGUARD PEDIATRICS

Laboratory Demographics

  • CLIA Code: 11D1037139
  • Facility Name: BADIA MEDICAL LLC DBA LIFEGUARD PEDIATRICS
  • Facility Address: 107 PEACOCK DRIVE
    WARNER ROBINS, GA
    ZIP 31088
  • Facility Phone: 478 922-3074
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OMOROGIUWA IGUOBADIA
  • NPI Number: 1679584601
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D1037139
LAB Type Physician Office
Facility Name BADIA MEDICAL LLC DBA LIFEGUARD PEDIATRICS
Street 107 PEACOCK DRIVE
City WARNER ROBINS
State GA
ZIP 31088
Phone 478 922-3074
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2024
Certificate Expiration Date 11/28/2026
Facility Type Physician Office
Lab Director OMOROGIUWA IGUOBADIA

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