11D2071653 CLIA NUMBER - TWINKLE PEDIATRICS, LLC

Laboratory Demographics

  • CLIA Code: 11D2071653
  • Facility Name: TWINKLE PEDIATRICS, LLC
  • Facility Address: 1815 SATELLITE BLVD #501
    DULUTH, GA
    ZIP 30097
  • Facility Phone: 678 496-2600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: APARNA PEETHAMBARAM
  • NPI Number: 1528497237
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D2071653
LAB Type Physician Office
Facility Name TWINKLE PEDIATRICS, LLC
Street 1815 SATELLITE BLVD #501
City DULUTH
State GA
ZIP 30097
Phone 678 496-2600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/16/2024
Certificate Expiration Date 1/15/2026
Facility Type Physician Office
Lab Director APARNA PEETHAMBARAM

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