11D2075869 CLIA NUMBER - ZOE CENTER FOR PEDIATRIC & ADOLESCENT HEALTH, LLC

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Laboratory Demographics

CLIA Number: 11D2075869

Facility Name: ZOE CENTER FOR PEDIATRIC & ADOLESCENT HEALTH, LLC

Facility Address:
1110 13TH STREET,
COLUMBUS, GA
ZIP 31901
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Facility Phone Number: 706 641-2482

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1053684936

Taxonomy: 2080A0000X - Pediatrics
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

CLIA Record

Field Name	Field Value
CLIA Number	11D2075869
LAB Type	Physician Office
Facility Name	ZOE CENTER FOR PEDIATRIC & ADOLESCENT HEALTH, LLC
Street	1110 13TH STREET,
City	COLUMBUS
State	GA
ZIP	31901
Phone	706 641-2482
CertificateType	4
CertificateEffectiveDate	4/8/2024
CertificateExpirationDate	4/7/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024