11D0262084 CLIA NUMBER - HARTWELL FAMILY PRACTICE PC

Laboratory Demographics

  • CLIA Code: 11D0262084
  • Facility Name: HARTWELL FAMILY PRACTICE PC
  • Facility Address: 229 ATHENS STREET
    HARTWELL, GA
    ZIP 30643
  • Facility Phone: 706 376-3957
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DAVID A. STONE MD
  • NPI Number: 1306047113
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0262084
LAB Type Physician Office
Facility Name HARTWELL FAMILY PRACTICE PC
Street 229 ATHENS STREET
City HARTWELL
State GA
ZIP 30643
Phone 706 376-3957
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/12/2024
Certificate Expiration Date 5/11/2026
Facility Type Physician Office
Lab Director DAVID A. STONE MD

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