11D0891766 CLIA NUMBER - COLUMBUS ENDOSCOPY CENTER LLC

Laboratory Demographics

  • CLIA Code: 11D0891766
  • Facility Name: COLUMBUS ENDOSCOPY CENTER LLC
  • Facility Address: 1130 TALBOTTON ROAD, SUITE B
    COLUMBUS, GA
    ZIP 31904
  • Facility Phone: 706 641-6900
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: PRAVINCHANDRA H. PATEL
  • NPI Number: 1841626090
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D0891766
LAB Type Ambulatory Surgery Center
Facility Name COLUMBUS ENDOSCOPY CENTER LLC
Street 1130 TALBOTTON ROAD, SUITE B
City COLUMBUS
State GA
ZIP 31904
Phone 706 641-6900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2024
Certificate Expiration Date 9/14/2026
Facility Type Ambulatory Surgery Center
Lab Director PRAVINCHANDRA H. PATEL

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