11D2118103 CLIA NUMBER - DARE2CARE PEDIATRICS, LLC

Laboratory Demographics

  • CLIA Code: 11D2118103
  • Facility Name: DARE2CARE PEDIATRICS, LLC
  • Facility Address: 5460 MCGINNIS VILLAGE PLACE, SUITE 103
    ALPHARETTA, GA
    ZIP 30005
  • Facility Phone: 770 615-7000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MADHURI VISWANADHAM
  • NPI Number: 1972958197
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D2118103
LAB Type Physician Office
Facility Name DARE2CARE PEDIATRICS, LLC
Street 5460 MCGINNIS VILLAGE PLACE, SUITE 103
City ALPHARETTA
State GA
ZIP 30005
Phone 770 615-7000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2024
Certificate Expiration Date 8/29/2026
Facility Type Physician Office
Lab Director MADHURI VISWANADHAM

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