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11D1050196 CLIA NUMBER - ATHENS KIDS SPECIALISTS PC

Laboratory Demographics

CLIA Number: 11D1050196

Facility Name: ATHENS KIDS SPECIALISTS PC

Facility Address:
1500 OGLETHORPE AVENUE, SUITE 100
ATHENS, GA
ZIP 30606
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Facility Phone Number: 706 543-9899

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1801955018

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name Field Value
CLIA Number 11D1050196
LAB Type Physician Office
Facility Name ATHENS KIDS SPECIALISTS PC
Street 1500 OGLETHORPE AVENUE, SUITE 100
City ATHENS
State GA
ZIP 30606
Phone 706 543-9899
CertificateType 4
CertificateEffectiveDate 1/27/2024
CertificateExpirationDate 1/26/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024