11D2028518 CLIA NUMBER - BUFORD PEDIATRICS, LLC

Laboratory Demographics

  • CLIA Code: 11D2028518
  • Facility Name: BUFORD PEDIATRICS, LLC
  • Facility Address: 3700 RIDGE ROAD, SUITE B
    BUFORD, GA
    ZIP 30519
  • Facility Phone: 678 804-9398
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NIRMALA BHARADWAJ
  • NPI Number: 1740550896
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2028518
LAB Type Physician Office
Facility Name BUFORD PEDIATRICS, LLC
Street 3700 RIDGE ROAD, SUITE B
City BUFORD
State GA
ZIP 30519
Phone 678 804-9398
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2025
Certificate Expiration Date 8/17/2027
Facility Type Physician Office
Lab Director NIRMALA BHARADWAJ

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