11D2103185 CLIA NUMBER - STEPPING STONE PEDIATRICS, LLC

Laboratory Demographics

  • CLIA Code: 11D2103185
  • Facility Name: STEPPING STONE PEDIATRICS, LLC
  • Facility Address: 1770 DENNIS KEMP LANE
    KENNESAW, GA
    ZIP 30152
  • Facility Phone: 770 515-9000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KYOUNGSOON KIM
  • NPI Number: 1477939676
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2103185
LAB Type Physician Office
Facility Name STEPPING STONE PEDIATRICS, LLC
Street 1770 DENNIS KEMP LANE
City KENNESAW
State GA
ZIP 30152
Phone 770 515-9000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2025
Certificate Expiration Date 10/6/2027
Facility Type Physician Office
Lab Director KYOUNGSOON KIM

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