11D0645879 CLIA NUMBER - EMORY CLINIC AMBULATORY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 11D0645879
  • Facility Name: EMORY CLINIC AMBULATORY SURGERY CENTER
  • Facility Address: 1365 CLIFTON ROAD, BUILDING B
    ATLANTA, GA
    ZIP 30322
  • Facility Phone: 404 778-4000
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. PIA MENDOZA
  • NPI Number: 1467527671
  • Taxonomy: 281P00000X - Chronic Disease Hospital

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CLIA Record

Field Name Field Value
CLIA Number 11D0645879
LAB Type Ambulatory Surgery Center
Facility Name EMORY CLINIC AMBULATORY SURGERY CENTER
Street 1365 CLIFTON ROAD, BUILDING B
City ATLANTA
State GA
ZIP 30322
Phone 404 778-4000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. PIA MENDOZA

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