11D2306002 CLIA NUMBER - CENTER FOR PEDIATRIC WELLNESS CHILDREN'S HEALTHCARE OF ATLANTA

Laboratory Demographics

  • CLIA Code: 11D2306002
  • Facility Name: CENTER FOR PEDIATRIC WELLNESS CHILDREN'S HEALTHCARE OF ATLANTA
  • Facility Address: 6000 LAKE FORREST DRIVE, SUITE 110
    ATLANTA, GA
    ZIP 30328
  • Facility Phone: 404 389-1600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELIZABETH M. LEDUC
  • NPI Number: 1922392190
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D2306002
LAB Type Physician Office
Facility Name CENTER FOR PEDIATRIC WELLNESS CHILDREN'S HEALTHCARE OF ATLANTA
Street 6000 LAKE FORREST DRIVE, SUITE 110
City ATLANTA
State GA
ZIP 30328
Phone 404 389-1600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2024
Certificate Expiration Date 6/10/2026
Facility Type Physician Office
Lab Director ELIZABETH M. LEDUC

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