11D2213554 CLIA NUMBER - VERNON PEDIATRICS

Laboratory Demographics

  • CLIA Code: 11D2213554
  • Facility Name: VERNON PEDIATRICS
  • Facility Address: 109 ENTERPRISE CT.
    COLUMBUS, GA
    ZIP 31904
  • Facility Phone: 706 576-5773
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIELLE MCDANIEL
  • NPI Number: 1538756119
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D2213554
LAB Type Physician Office
Facility Name VERNON PEDIATRICS
Street 109 ENTERPRISE CT.
City COLUMBUS
State GA
ZIP 31904
Phone 706 576-5773
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/15/2025
Certificate Expiration Date 2/14/2027
Facility Type Physician Office
Lab Director DANIELLE MCDANIEL

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