11D0925482 CLIA NUMBER - RESURGENS SURGICAL CENTER

Laboratory Demographics

  • CLIA Code: 11D0925482
  • Facility Name: RESURGENS SURGICAL CENTER
  • Facility Address: 5671 PEACHTREE DUNWOODY RD STE 800
    ATLANTA, GA
    ZIP 30342
  • Facility Phone: 404 531-8532
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JASON YORK
  • NPI Number: 1144331760
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D0925482
LAB Type Ambulatory Surgery Center
Facility Name RESURGENS SURGICAL CENTER
Street 5671 PEACHTREE DUNWOODY RD STE 800
City ATLANTA
State GA
ZIP 30342
Phone 404 531-8532
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2025
Certificate Expiration Date 2/26/2027
Facility Type Ambulatory Surgery Center
Lab Director JASON YORK

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