11D2284830 CLIA NUMBER - BAYBOL PEDIATRICS

Laboratory Demographics

  • CLIA Code: 11D2284830
  • Facility Name: BAYBOL PEDIATRICS
  • Facility Address: 1170 MCKENDREE CHURCH ROAD
    LAWRENCEVILLE, GA
    ZIP 30043
  • Facility Phone: 770 299-1311
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ADEBAYO AKINSOLA
  • NPI Number: 1740972280
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D2284830
LAB Type Physician Office
Facility Name BAYBOL PEDIATRICS
Street 1170 MCKENDREE CHURCH ROAD
City LAWRENCEVILLE
State GA
ZIP 30043
Phone 770 299-1311
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2025
Certificate Expiration Date 6/28/2027
Facility Type Physician Office
Lab Director ADEBAYO AKINSOLA

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