11D1093062 CLIA NUMBER - SAGE HILL PEDIATRICS

Laboratory Demographics

CLIA Number: 11D1093062

Facility Name: SAGE HILL PEDIATRICS

Facility Address:
1799 BRIARCLIFF ROAD NE SUITE X
ATLANTA, GA
ZIP 30306
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Facility Phone Number: 404 321-3771

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1851708820

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	11D1093062
LAB Type	Physician Office
Facility Name	SAGE HILL PEDIATRICS
Street	1799 BRIARCLIFF ROAD NE SUITE X
City	ATLANTA
State	GA
ZIP	30306
Phone	404 321-3771
CertificateType	3
CertificateEffectiveDate	1/13/2023
CertificateExpirationDate	1/12/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024