11D2019202 CLIA NUMBER - HEALTHY STEPS PEDIATRICS, LLC

Laboratory Demographics

  • CLIA Code: 11D2019202
  • Facility Name: HEALTHY STEPS PEDIATRICS, LLC
  • Facility Address: 3911 MARY ELIZA TRACE, SUITE 200
    MARIETTA, GA
    ZIP 30064
  • Facility Phone: 678 524-6279
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MARY B. HAMMOCK
  • NPI Number: 1548567019
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2019202
LAB Type Practitioner Other
Facility Name HEALTHY STEPS PEDIATRICS, LLC
Street 3911 MARY ELIZA TRACE, SUITE 200
City MARIETTA
State GA
ZIP 30064
Phone 678 524-6279
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2025
Certificate Expiration Date 1/24/2027
Facility Type Practitioner Other
Lab Director MARY B. HAMMOCK

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