11D0892861 CLIA NUMBER - NIZAR A TEJANI MD

Laboratory Demographics

  • CLIA Code: 11D0892861
  • Facility Name: NIZAR A TEJANI MD
  • Facility Address: 1004 HOSPITAL DRIVE
    STOCKBRIDGE, GA
    ZIP 30281
  • Facility Phone: 770 507-9929
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NIZAR A. TEJANI
  • NPI Number: 1043311459
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0892861
LAB Type Physician Office
Facility Name NIZAR A TEJANI MD
Street 1004 HOSPITAL DRIVE
City STOCKBRIDGE
State GA
ZIP 30281
Phone 770 507-9929
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2024
Certificate Expiration Date 10/6/2026
Facility Type Physician Office
Lab Director NIZAR A. TEJANI

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