11D0966280 CLIA NUMBER - STEPHEN M BURT DO

Laboratory Demographics

  • CLIA Code: 11D0966280
  • Facility Name: STEPHEN M BURT DO
  • Facility Address: 1111 HIGHWAY, 441 N
    PEARSON, GA
    ZIP 31642
  • Facility Phone: (912) 422-7073
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN M. BURT
  • NPI Number: 1518062199
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 11D0966280
LAB Type Physician Office
Facility Name STEPHEN M BURT DO
Street 1111 HIGHWAY, 441 N
City PEARSON
State GA
ZIP 31642
Phone 9124227073
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2025
Certificate Expiration Date 9/5/2027
Facility Type Physician Office
Lab Director STEPHEN M. BURT

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This page was last updated on: 5/18/2026