11D0983347 CLIA NUMBER - STARRS MILL INTERNAL MEDICINE LLC

Laboratory Demographics

  • CLIA Code: 11D0983347
  • Facility Name: STARRS MILL INTERNAL MEDICINE LLC
  • Facility Address: 1330 HIGHWAY 74 SOUTH, MAY HOUSE
    FAYETTEVILLE, GA
    ZIP 30215
  • Facility Phone: 770 716-3660
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANTHONY F. LAWSON
  • NPI Number: 1689724809
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0983347
LAB Type Physician Office
Facility Name STARRS MILL INTERNAL MEDICINE LLC
Street 1330 HIGHWAY 74 SOUTH, MAY HOUSE
City FAYETTEVILLE
State GA
ZIP 30215
Phone 770 716-3660
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2025
Certificate Expiration Date 2/20/2027
Facility Type Physician Office
Lab Director ANTHONY F. LAWSON

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