11D2080100 CLIA NUMBER - B PEDIATRICS, LLC

Laboratory Demographics

  • CLIA Code: 11D2080100
  • Facility Name: B PEDIATRICS, LLC
  • Facility Address: 410 MALL BLVD SUITE B
    SAVANNAH, GA
    ZIP 31406
  • Facility Phone: 912 472-0314
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KASEY BERMAN
  • NPI Number: 1114343183
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D2080100
LAB Type Physician Office
Facility Name B PEDIATRICS, LLC
Street 410 MALL BLVD SUITE B
City SAVANNAH
State GA
ZIP 31406
Phone 912 472-0314
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2025
Certificate Expiration Date 3/29/2027
Facility Type Physician Office
Lab Director KASEY BERMAN

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