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: Accreditation
  • 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 Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 10/23/2025
Certificate Expiration Date 10/22/2027
Facility Type Physician Office
Lab Director SAM A. KHAIR

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