11D1093062 CLIA NUMBER - KR MD LLC DBA SAGE HILL PEDIATRICS

Laboratory Demographics

  • CLIA Code: 11D1093062
  • Facility Name: KR MD LLC DBA SAGE HILL PEDIATRICS
  • Facility Address: 1799 BRIARCLIFF ROAD NE SUITE X
    ATLANTA, GA
    ZIP 30306
  • Facility Phone: 404 745-4578
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEVIN J. RODBELL
  • NPI Number: 1851708820
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D1093062
LAB Type Physician Office
Facility Name KR MD LLC DBA SAGE HILL PEDIATRICS
Street 1799 BRIARCLIFF ROAD NE SUITE X
City ATLANTA
State GA
ZIP 30306
Phone 404 745-4578
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2025
Certificate Expiration Date 1/12/2027
Facility Type Physician Office
Lab Director KEVIN J. RODBELL

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