11D2227839 CLIA NUMBER - VALENTINE PEDIATRIC GROUP

Laboratory Demographics

  • CLIA Code: 11D2227839
  • Facility Name: VALENTINE PEDIATRIC GROUP
  • Facility Address: 2680 LAWRENCEVILLE HIGHWAY SUITE 100
    DECATUR, GA
    ZIP 30033
  • Facility Phone: 770 515-9898
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNA DAVIS
  • NPI Number: 1154904878
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2227839
LAB Type Physician Office
Facility Name VALENTINE PEDIATRIC GROUP
Street 2680 LAWRENCEVILLE HIGHWAY SUITE 100
City DECATUR
State GA
ZIP 30033
Phone 770 515-9898
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2025
Certificate Expiration Date 6/16/2027
Facility Type Physician Office
Lab Director JENNA DAVIS

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