11D2108671 CLIA NUMBER - DULUTH CHILDREN'S MEDICINE, PC

Laboratory Demographics

  • CLIA Code: 11D2108671
  • Facility Name: DULUTH CHILDREN'S MEDICINE, PC
  • Facility Address: 3500 DULUTH PARK LANE, STE 220
    DULUTH, GA
    ZIP 30096
  • Facility Phone: 678 878-2808
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES H. LIN
  • NPI Number: 1134592983
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D2108671
LAB Type Physician Office
Facility Name DULUTH CHILDREN'S MEDICINE, PC
Street 3500 DULUTH PARK LANE, STE 220
City DULUTH
State GA
ZIP 30096
Phone 678 878-2808
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2024
Certificate Expiration Date 2/8/2026
Facility Type Physician Office
Lab Director JAMES H. LIN

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