11D2118785 CLIA NUMBER - SUNFLOWER PEDIATRICS

Laboratory Demographics

  • CLIA Code: 11D2118785
  • Facility Name: SUNFLOWER PEDIATRICS
  • Facility Address: 5422 HIGHWAY 20 SUITE 203
    SUGAR HILL, GA
    ZIP 30518
  • Facility Phone: 404 580-8022
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DENISE S. VAZ
  • NPI Number: 1003269002
  • Taxonomy: 363LP0200X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 11D2118785
LAB Type Physician Office
Facility Name SUNFLOWER PEDIATRICS
Street 5422 HIGHWAY 20 SUITE 203
City SUGAR HILL
State GA
ZIP 30518
Phone 404 580-8022
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2024
Certificate Expiration Date 9/13/2026
Facility Type Physician Office
Lab Director DENISE S. VAZ

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