11D2076055 CLIA NUMBER - KHAIR FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 11D2076055
  • Facility Name: KHAIR FAMILY PRACTICE
  • Facility Address: 125 EAGLE SPRING DRIVE
    STOCKBRIDGE, GA
    ZIP 30281
  • Facility Phone: 770 213-3366
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: SAM A. KHAIR
  • NPI Number: 1699190603
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2076055
LAB Type Physician Office
Facility Name KHAIR FAMILY PRACTICE
Street 125 EAGLE SPRING DRIVE
City STOCKBRIDGE
State GA
ZIP 30281
Phone 770 213-3366
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 4/22/2025
Certificate Expiration Date 4/21/2027
Facility Type Physician Office
Lab Director SAM A. KHAIR

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This page was last updated on: 6/4/2025