11D1092044 CLIA NUMBER - BRASELTON PEDIATRICS PC

Laboratory Demographics

  • CLIA Code: 11D1092044
  • Facility Name: BRASELTON PEDIATRICS PC
  • Facility Address: 1897 HIGHWAY 211 NW SUITE 100
    HOSCHTON, GA
    ZIP 30548
  • Facility Phone: 678 820-7979
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARC YRIANE BARIEUX
  • NPI Number: 1174278808
  • Taxonomy: 363LP0200X - Nurse Practitioner

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D1092044
LAB Type Physician Office
Facility Name BRASELTON PEDIATRICS PC
Street 1897 HIGHWAY 211 NW SUITE 100
City HOSCHTON
State GA
ZIP 30548
Phone 678 820-7979
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2025
Certificate Expiration Date 2/28/2027
Facility Type Physician Office
Lab Director MARC YRIANE BARIEUX

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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