11D2066250 CLIA NUMBER - OAKHURST PEDIATRICS

Laboratory Demographics

  • CLIA Code: 11D2066250
  • Facility Name: OAKHURST PEDIATRICS
  • Facility Address: 317 W HILL STREET, SUITE 111
    DECATUR, GA
    ZIP 30030
  • Facility Phone: 404 371-9838
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JESSICA DOYLE
  • NPI Number: 1053781773
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 11D2066250
LAB Type Physician Office
Facility Name OAKHURST PEDIATRICS
Street 317 W HILL STREET, SUITE 111
City DECATUR
State GA
ZIP 30030
Phone 404 371-9838
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2025
Certificate Expiration Date 9/23/2027
Facility Type Physician Office
Lab Director JESSICA DOYLE

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