11D1090425 CLIA NUMBER - PRIMARY CARE PLUS, PC

Laboratory Demographics

  • CLIA Code: 11D1090425
  • Facility Name: PRIMARY CARE PLUS, PC
  • Facility Address: 51 SEVEN HILLS BOULEVARD, SUITE 102
    DALLAS, GA
    ZIP 30132
  • Facility Phone: 770 378-4078
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CURTIS CHEEKS
  • NPI Number: 1487937843
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D1090425
LAB Type Physician Office
Facility Name PRIMARY CARE PLUS, PC
Street 51 SEVEN HILLS BOULEVARD, SUITE 102
City DALLAS
State GA
ZIP 30132
Phone 770 378-4078
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2023
Certificate Expiration Date 11/3/2025
Facility Type Physician Office
Lab Director CURTIS CHEEKS

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