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11D2284830 CLIA NUMBER - BAYBOL PEDIATRICS

Laboratory Demographics

CLIA Number: 11D2284830

Facility Name: BAYBOL PEDIATRICS

Facility Address:
1170 MCKENDREE CHURCH ROAD
LAWRENCEVILLE, GA
ZIP 30043
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Facility Phone Number: 770 299-1311

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1740972280

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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
CertificateType 4
CertificateEffectiveDate 6/29/2023
CertificateExpirationDate 6/28/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024