11D1103710 CLIA NUMBER - AUGUSTA DEVELOPMENTAL SPECIALISTS, LLC

Laboratory Demographics

  • CLIA Code: 11D1103710
  • Facility Name: AUGUSTA DEVELOPMENTAL SPECIALISTS, LLC
  • Facility Address: 1303 D'ANTIGNAC STREET SUITE 2100
    AUGUSTA, GA
    ZIP 30901
  • Facility Phone: 706 396-0600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KAREN L. CARTER
  • NPI Number: 1932487691
  • Taxonomy: 2080P0006X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D1103710
LAB Type Physician Office
Facility Name AUGUSTA DEVELOPMENTAL SPECIALISTS, LLC
Street 1303 D'ANTIGNAC STREET SUITE 2100
City AUGUSTA
State GA
ZIP 30901
Phone 706 396-0600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2024
Certificate Expiration Date 9/1/2026
Facility Type Physician Office
Lab Director DR. KAREN L. CARTER

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