11D2103344 CLIA NUMBER - BAYBOL PEDIATRICS

Laboratory Demographics

  • CLIA Code: 11D2103344
  • Facility Name: BAYBOL PEDIATRICS
  • Facility Address: 4961 BUFORD HIGHWAY, NE, SUITE 201
    ATLANTA, GA
    ZIP 30341
  • Facility Phone: 770 733-1077
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ADEBAYO K. AKINSOLA
  • NPI Number: 1760858252
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D2103344
LAB Type Physician Office
Facility Name BAYBOL PEDIATRICS
Street 4961 BUFORD HIGHWAY, NE, SUITE 201
City ATLANTA
State GA
ZIP 30341
Phone 770 733-1077
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2025
Certificate Expiration Date 10/8/2027
Facility Type Physician Office
Lab Director ADEBAYO K. AKINSOLA

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