11D1045979 CLIA NUMBER - STEVENS HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 11D1045979
  • Facility Name: STEVENS HEALTH SERVICES
  • Facility Address: 201 EAST 16TH AVENUE
    CORDELE, GA
    ZIP 31015
  • Facility Phone: 229 273-8501
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. RICHARD STEVENS
  • NPI Number: 1467779082
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D1045979
LAB Type Physician Office
Facility Name STEVENS HEALTH SERVICES
Street 201 EAST 16TH AVENUE
City CORDELE
State GA
ZIP 31015
Phone 229 273-8501
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 8/8/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director DR. RICHARD STEVENS

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