11D1053453 CLIA NUMBER - SUNNYSIDE PEDIATRICS

Laboratory Demographics

CLIA Number: 11D1053453

Facility Name: SUNNYSIDE PEDIATRICS

Facility Address:
1661 W MCINTOSH ROAD
GRIFFIN, GA
ZIP 30223
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Facility Phone Number: 770 233-4668

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1275810780

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	11D1053453
LAB Type	Physician Office
Facility Name	SUNNYSIDE PEDIATRICS
Street	1661 W MCINTOSH ROAD
City	GRIFFIN
State	GA
ZIP	30223
Phone	770 233-4668
CertificateType	4
CertificateEffectiveDate	4/25/2024
CertificateExpirationDate	4/24/2026
FacilityType	Waiver

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