11D1106702 CLIA NUMBER - MANNING PEDIATRICS, LLC

Laboratory Demographics

  • CLIA Code: 11D1106702
  • Facility Name: MANNING PEDIATRICS, LLC
  • Facility Address: 4139 HOSPTIAL DRIVE
    COVINGTON, GA
    ZIP 30014
  • Facility Phone: 770 786-0012
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHERYL A. MANNING MD
  • NPI Number: 1720362221
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D1106702
LAB Type Physician Office
Facility Name MANNING PEDIATRICS, LLC
Street 4139 HOSPTIAL DRIVE
City COVINGTON
State GA
ZIP 30014
Phone 770 786-0012
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2023
Certificate Expiration Date 10/20/2025
Facility Type Physician Office
Lab Director CHERYL A. MANNING MD

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This page was last updated on: 3/20/2025