11D2019091 CLIA NUMBER - HENRY COUNTY PEDIATRICS, LLC

Laboratory Demographics

  • CLIA Code: 11D2019091
  • Facility Name: HENRY COUNTY PEDIATRICS, LLC
  • Facility Address: 125 EAGLE'S POINTE PARKWAY, SUITE 120
    STOCKBRIDGE, GA
    ZIP 30281
  • Facility Phone: 770 474-6969
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ISHRAT A. HUSSAIN
  • NPI Number: 1821306853
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2019091
LAB Type Physician Office
Facility Name HENRY COUNTY PEDIATRICS, LLC
Street 125 EAGLE'S POINTE PARKWAY, SUITE 120
City STOCKBRIDGE
State GA
ZIP 30281
Phone 770 474-6969
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2025
Certificate Expiration Date 1/23/2027
Facility Type Physician Office
Lab Director ISHRAT A. HUSSAIN

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