11D1050196 CLIA NUMBER - ATHENS KIDS SPECIALISTS PC

Laboratory Demographics

  • CLIA Code: 11D1050196
  • Facility Name: ATHENS KIDS SPECIALISTS PC
  • Facility Address: 1500 OGLETHORPE AVENUE, SUITE 100
    ATHENS, GA
    ZIP 30606
  • Facility Phone: 706 543-9899
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FELIX SHERWIN LOPEZ
  • NPI Number: 1801955018
  • Taxonomy: 208000000X - Pediatrics

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2024
Certificate Expiration Date 1/26/2026
Facility Type Physician Office
Lab Director FELIX SHERWIN LOPEZ

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