01D1029315 CLIA NUMBER - MADISON SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 01D1029315
  • Facility Name: MADISON SURGERY CENTER LLC
  • Facility Address: 460 LANIER ROAD
    MADISON, AL
    ZIP 35758
  • Facility Phone: 256 319-9000
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: PETER WILSON
  • NPI Number: 1356369755
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D1029315
LAB Type Ambulatory Surgery Center
Facility Name MADISON SURGERY CENTER LLC
Street 460 LANIER ROAD
City MADISON
State AL
ZIP 35758
Phone 256 319-9000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2024
Certificate Expiration Date 8/12/2026
Facility Type Ambulatory Surgery Center
Lab Director PETER WILSON

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