11D0969636 CLIA NUMBER - LEVIN FAMILY PRACTICE PC

Laboratory Demographics

  • CLIA Code: 11D0969636
  • Facility Name: LEVIN FAMILY PRACTICE PC
  • Facility Address: 1040 CAMBRIDGE SQUARE STE E
    ALPHARETTA, GA
    ZIP 30009
  • Facility Phone: 770 569-2020
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: STUART I. LEVIN MD
  • NPI Number: 1265659791
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0969636
LAB Type Physician Office
Facility Name LEVIN FAMILY PRACTICE PC
Street 1040 CAMBRIDGE SQUARE STE E
City ALPHARETTA
State GA
ZIP 30009
Phone 770 569-2020
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 1/21/2024
Certificate Expiration Date 1/20/2026
Facility Type Physician Office
Lab Director STUART I. LEVIN MD

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