11D2142002 CLIA NUMBER - ATLANTA PEDIATRIC PARTNERS, PC

Laboratory Demographics

  • CLIA Code: 11D2142002
  • Facility Name: ATLANTA PEDIATRIC PARTNERS, PC
  • Facility Address: 4579 S COBB DRIVE, SUITE 300
    SMYRNA, GA
    ZIP 30080
  • Facility Phone: 404 699-1339
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DOROTHY P. WIGGINS
  • NPI Number: 1669599866
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D2142002
LAB Type Physician Office
Facility Name ATLANTA PEDIATRIC PARTNERS, PC
Street 4579 S COBB DRIVE, SUITE 300
City SMYRNA
State GA
ZIP 30080
Phone 404 699-1339
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/29/2023
Certificate Expiration Date 12/28/2025
Facility Type Physician Office
Lab Director DOROTHY P. WIGGINS

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