11D2075637 CLIA NUMBER - DAFFODIL PEDIATRICS AND FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 11D2075637
  • Facility Name: DAFFODIL PEDIATRICS AND FAMILY MEDICINE
  • Facility Address: 1561 HWY 27 SOUTH UNIT B6 & B7
    CARROLLTON, GA
    ZIP 30117
  • Facility Phone: 404 366-3636
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ABIGAIL KAMISHLIAN
  • NPI Number: 1851663124
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D2075637
LAB Type Physician Office
Facility Name DAFFODIL PEDIATRICS AND FAMILY MEDICINE
Street 1561 HWY 27 SOUTH UNIT B6 & B7
City CARROLLTON
State GA
ZIP 30117
Phone 404 366-3636
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2024
Certificate Expiration Date 4/1/2026
Facility Type Physician Office
Lab Director ABIGAIL KAMISHLIAN

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