11D2140178 CLIA NUMBER - GREATER ATLANTA PEDIATRICS, PC

Laboratory Demographics

  • CLIA Code: 11D2140178
  • Facility Name: GREATER ATLANTA PEDIATRICS, PC
  • Facility Address: 5674 MEMORIAL DRIVE
    STONE MOUNTAIN, GA
    ZIP 30083
  • Facility Phone: 770 322-6161
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAAD HAMMID
  • NPI Number: 1932611068
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D2140178
LAB Type Physician Office
Facility Name GREATER ATLANTA PEDIATRICS, PC
Street 5674 MEMORIAL DRIVE
City STONE MOUNTAIN
State GA
ZIP 30083
Phone 770 322-6161
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2023
Certificate Expiration Date 11/15/2025
Facility Type Physician Office
Lab Director SAAD HAMMID

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