11D2155676 CLIA NUMBER - CROSS ROADS PEDIATRIC ACUTE CARE

Laboratory Demographics

  • CLIA Code: 11D2155676
  • Facility Name: CROSS ROADS PEDIATRIC ACUTE CARE
  • Facility Address: 5120 WARM SPRINGS ROAD SUITE I
    COLUMBUS, GA
    ZIP 31909
  • Facility Phone: 706 507-4995
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DANA CASON
  • NPI Number: 1780164608
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2155676
LAB Type Practitioner Other
Facility Name CROSS ROADS PEDIATRIC ACUTE CARE
Street 5120 WARM SPRINGS ROAD SUITE I
City COLUMBUS
State GA
ZIP 31909
Phone 706 507-4995
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2024
Certificate Expiration Date 6/16/2026
Facility Type Practitioner Other
Lab Director DANA CASON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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