11D2178575 CLIA NUMBER - LAURENS PEDIATRICS, LLC

Laboratory Demographics

  • CLIA Code: 11D2178575
  • Facility Name: LAURENS PEDIATRICS, LLC
  • Facility Address: 112 ROWE STREET
    DUBLIN, GA
    ZIP 31021
  • Facility Phone: 478 272-5212
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KANNAN VAIDYANATHAN
  • NPI Number: 1497389795
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D2178575
LAB Type Physician Office
Facility Name LAURENS PEDIATRICS, LLC
Street 112 ROWE STREET
City DUBLIN
State GA
ZIP 31021
Phone 478 272-5212
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2024
Certificate Expiration Date 2/4/2026
Facility Type Physician Office
Lab Director KANNAN VAIDYANATHAN

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