11D1058072 CLIA NUMBER - RAINBOW PEDIATRIC CLINIC LLC

Laboratory Demographics

  • CLIA Code: 11D1058072
  • Facility Name: RAINBOW PEDIATRIC CLINIC LLC
  • Facility Address: 1735 BUFORD HWY, SUITE 225
    CUMMING, GA
    ZIP 30041
  • Facility Phone: 770 781-1606
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AARTI G. RAINA
  • NPI Number: 1144465147
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D1058072
LAB Type Physician Office
Facility Name RAINBOW PEDIATRIC CLINIC LLC
Street 1735 BUFORD HWY, SUITE 225
City CUMMING
State GA
ZIP 30041
Phone 770 781-1606
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2024
Certificate Expiration Date 8/1/2026
Facility Type Physician Office
Lab Director AARTI G. RAINA

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