11D2019091 CLIA NUMBER - HENRY COUNTY PEDIATRICS, LLC

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Laboratory Demographics

CLIA Number: 11D2019091

Facility Name: HENRY COUNTY PEDIATRICS, LLC

Facility Address:
125 EAGLE'S POINTE PARKWAY, SUITE 120
STOCKBRIDGE, GA
ZIP 30281
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Facility Phone Number: 770 474-6969

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1821306853

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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
CertificateType	4
CertificateEffectiveDate	1/24/2023
CertificateExpirationDate	1/23/2025
FacilityType	Waiver

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