11D0865763 CLIA NUMBER - ALBANY SURGICAL PC

Laboratory Demographics

  • CLIA Code: 11D0865763
  • Facility Name: ALBANY SURGICAL PC
  • Facility Address: 605 NORTH WESTOVER BLVD
    ALBANY, GA
    ZIP 31707
  • Facility Phone: 229 434-4200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: J PRICE CORR
  • NPI Number: 1023005675
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 11D0865763
LAB Type Physician Office
Facility Name ALBANY SURGICAL PC
Street 605 NORTH WESTOVER BLVD
City ALBANY
State GA
ZIP 31707
Phone 229 434-4200
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 J PRICE CORR

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