11D0261022 CLIA NUMBER - CEDAR SURGICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 11D0261022
  • Facility Name: CEDAR SURGICAL ASSOCIATES
  • Facility Address: 1497 FAIR ROAD SUITE 200
    STATESBORO, GA
    ZIP 30458
  • Facility Phone: 912 871-7100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AKRAM M. HASSANYEH
  • NPI Number: 1235141185
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 11D0261022
LAB Type Physician Office
Facility Name CEDAR SURGICAL ASSOCIATES
Street 1497 FAIR ROAD SUITE 200
City STATESBORO
State GA
ZIP 30458
Phone 912 871-7100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director AKRAM M. HASSANYEH

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