11D2090685 CLIA NUMBER - PREMIER PEDIATRIC ASSOCIATES

Laboratory Demographics

  • CLIA Code: 11D2090685
  • Facility Name: PREMIER PEDIATRIC ASSOCIATES
  • Facility Address: 3200 HIGHLAND PKWY STE 118
    SMYRNA, GA
    ZIP 30082
  • Facility Phone: 770 235-4926
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. TIFFINI N. BILLINGSLY
  • NPI Number: 1386041457
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D2090685
LAB Type Physician Office
Facility Name PREMIER PEDIATRIC ASSOCIATES
Street 3200 HIGHLAND PKWY STE 118
City SMYRNA
State GA
ZIP 30082
Phone 770 235-4926
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2025
Certificate Expiration Date 1/28/2027
Facility Type Physician Office
Lab Director DR. TIFFINI N. BILLINGSLY

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