11D1083186 CLIA NUMBER - CRH PEDIATRIC PRACTICES LLC DBA CRH PEDIATRIC GROUP

Laboratory Demographics

  • CLIA Code: 11D1083186
  • Facility Name: CRH PEDIATRIC PRACTICES LLC DBA CRH PEDIATRIC GROUP
  • Facility Address: 200 DOCTORS DRIVE, SUITE 201
    DOUGLAS, GA
    ZIP 31533
  • Facility Phone: 912 393-9460
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CAROL WILLIAMS
  • NPI Number: 1255682142
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D1083186
LAB Type Physician Office
Facility Name CRH PEDIATRIC PRACTICES LLC DBA CRH PEDIATRIC GROUP
Street 200 DOCTORS DRIVE, SUITE 201
City DOUGLAS
State GA
ZIP 31533
Phone 912 393-9460
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2024
Certificate Expiration Date 7/7/2026
Facility Type Physician Office
Lab Director DR. CAROL WILLIAMS

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