11D2175573 CLIA NUMBER - PEDSNOW URGENT CARE, LLC

Laboratory Demographics

  • CLIA Code: 11D2175573
  • Facility Name: PEDSNOW URGENT CARE, LLC
  • Facility Address: 863 W OGLETHORPE HIGHWAY, SUITE 220
    HINESVILLE, GA
    ZIP 31313
  • Facility Phone: 912 391-1044
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: PHILLIP AJAYI
  • NPI Number: 1427616515
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D2175573
LAB Type Other - URGENT CARE
Facility Name PEDSNOW URGENT CARE, LLC
Street 863 W OGLETHORPE HIGHWAY, SUITE 220
City HINESVILLE
State GA
ZIP 31313
Phone 912 391-1044
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/25/2023
Certificate Expiration Date 11/24/2025
Facility Type Other - URGENT CARE
Lab Director PHILLIP AJAYI

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