11D0703126 CLIA NUMBER - FAMILY PRACTICE AND SURGERY

Laboratory Demographics

  • CLIA Code: 11D0703126
  • Facility Name: FAMILY PRACTICE AND SURGERY
  • Facility Address: 525 SPRING STREET
    SPARTA, GA
    ZIP 31087
  • Facility Phone: 706 444-6521
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OMAR AKHRAS
  • NPI Number: 1780836064
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 11D0703126
LAB Type Physician Office
Facility Name FAMILY PRACTICE AND SURGERY
Street 525 SPRING STREET
City SPARTA
State GA
ZIP 31087
Phone 706 444-6521
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director OMAR AKHRAS

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