11D1061897 CLIA NUMBER - COVENANT PEDIATRICS, LLC

Laboratory Demographics

  • CLIA Code: 11D1061897
  • Facility Name: COVENANT PEDIATRICS, LLC
  • Facility Address: 4106 COLUMBUS ROAD SUITE 103
    MARTINEZ, GA
    ZIP 30907
  • Facility Phone: 706 863-1440
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALAN G. GETTS
  • NPI Number: 1942376918
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D1061897
LAB Type Physician Office
Facility Name COVENANT PEDIATRICS, LLC
Street 4106 COLUMBUS ROAD SUITE 103
City MARTINEZ
State GA
ZIP 30907
Phone 706 863-1440
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2025
Certificate Expiration Date 8/3/2027
Facility Type Physician Office
Lab Director ALAN G. GETTS

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