11D2020107 CLIA NUMBER - CHILDREN FIRST PEDIATRIC CLINIC

Laboratory Demographics

  • CLIA Code: 11D2020107
  • Facility Name: CHILDREN FIRST PEDIATRIC CLINIC
  • Facility Address: 1267 INTERSTATE PARKWAY
    AUGUSTA, GA
    ZIP 30909
  • Facility Phone: 706 733-8564
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RELPHA V. ESCALONA - CRUZ
  • NPI Number: 1568766293
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2020107
LAB Type Physician Office
Facility Name CHILDREN FIRST PEDIATRIC CLINIC
Street 1267 INTERSTATE PARKWAY
City AUGUSTA
State GA
ZIP 30909
Phone 706 733-8564
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2025
Certificate Expiration Date 2/13/2027
Facility Type Physician Office
Lab Director RELPHA V. ESCALONA - CRUZ

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