11D0992003 CLIA NUMBER - STEWART FAMILY PRACTICE, PC

Laboratory Demographics

  • CLIA Code: 11D0992003
  • Facility Name: STEWART FAMILY PRACTICE, PC
  • Facility Address: 4500 HUGH HOWELL ROAD SUITE 220
    TUCKER, GA
    ZIP 30084
  • Facility Phone: 770 469-0668
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: STEVEN O. STEWART MD
  • NPI Number: 1184964967
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0992003
LAB Type Physician Office
Facility Name STEWART FAMILY PRACTICE, PC
Street 4500 HUGH HOWELL ROAD SUITE 220
City TUCKER
State GA
ZIP 30084
Phone 770 469-0668
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 10/4/2025
Certificate Expiration Date 10/3/2027
Facility Type Physician Office
Lab Director STEVEN O. STEWART MD

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