11D2187177 CLIA NUMBER - HEALTHY KIDS R US PC

Laboratory Demographics

  • CLIA Code: 11D2187177
  • Facility Name: HEALTHY KIDS R US PC
  • Facility Address: 11 DUNWOODY PARK, SUITE 190
    DUNWOODY, GA
    ZIP 30338
  • Facility Phone: 770 558-3150
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JESSIE BRUTUS-DARIUS
  • NPI Number: 1811521867
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D2187177
LAB Type Physician Office
Facility Name HEALTHY KIDS R US PC
Street 11 DUNWOODY PARK, SUITE 190
City DUNWOODY
State GA
ZIP 30338
Phone 770 558-3150
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/26/2024
Certificate Expiration Date 6/25/2026
Facility Type Physician Office
Lab Director JESSIE BRUTUS-DARIUS

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This page was last updated on: 6/4/2025