11D0992298 CLIA NUMBER - L ONEAL SUTTER FAMILY PRACTICE CLINIC DBA SUTTER FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 11D0992298
  • Facility Name: L ONEAL SUTTER FAMILY PRACTICE CLINIC DBA SUTTER FAMILY PRACTICE
  • Facility Address: 320 MARKET STREET
    CHATSWORTH, GA
    ZIP 30705
  • Facility Phone: 706 695-0466
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL J. BROWN MD
  • NPI Number: 1063553733
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0992298
LAB Type Physician Office
Facility Name L ONEAL SUTTER FAMILY PRACTICE CLINIC DBA SUTTER FAMILY PRACTICE
Street 320 MARKET STREET
City CHATSWORTH
State GA
ZIP 30705
Phone 706 695-0466
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2025
Certificate Expiration Date 4/20/2027
Facility Type Physician Office
Lab Director MICHAEL J. BROWN MD

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