11D1068782 CLIA NUMBER - COKER PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 11D1068782
  • Facility Name: COKER PEDIATRICS LLC
  • Facility Address: 14557 HIGHWAY 19
    GRIFFIN, GA
    ZIP 30224
  • Facility Phone: 678 688-1580
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MARK A. COKER
  • NPI Number: 1871707489
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D1068782
LAB Type Physician Office
Facility Name COKER PEDIATRICS LLC
Street 14557 HIGHWAY 19
City GRIFFIN
State GA
ZIP 30224
Phone 678 688-1580
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 11/17/2023
Certificate Expiration Date 11/16/2025
Facility Type Physician Office
Lab Director MARK A. COKER

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