11D2267272 CLIA NUMBER - LIGHTHOUSE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 11D2267272
  • Facility Name: LIGHTHOUSE PEDIATRICS
  • Facility Address: 3610 PIEDMONT ROAD, NE, STE 100
    ATLANTA, GA
    ZIP 30305
  • Facility Phone: 470 697-1396
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: BRITTANY D. WILSON
  • NPI Number: 1861136483
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D2267272
LAB Type Physician Office
Facility Name LIGHTHOUSE PEDIATRICS
Street 3610 PIEDMONT ROAD, NE, STE 100
City ATLANTA
State GA
ZIP 30305
Phone 470 697-1396
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/11/2024
Certificate Expiration Date 1/10/2026
Facility Type Physician Office
Lab Director BRITTANY D. WILSON

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