11D0928059 CLIA NUMBER - SOUTHEASTERN SURGICAL CENTER

Laboratory Demographics

  • CLIA Code: 11D0928059
  • Facility Name: SOUTHEASTERN SURGICAL CENTER
  • Facility Address: 1100 JOHNSON FERRY ROAD, NE, SUITE 200
    SANDY SPRINGS, GA
    ZIP 30342
  • Facility Phone: 404 459-3586
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. ANDREW TOLEDO
  • NPI Number: 1023147055
  • Taxonomy: 207VX0201X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 11D0928059
LAB Type Ambulatory Surgery Center
Facility Name SOUTHEASTERN SURGICAL CENTER
Street 1100 JOHNSON FERRY ROAD, NE, SUITE 200
City SANDY SPRINGS
State GA
ZIP 30342
Phone 404 459-3586
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/7/2025
Certificate Expiration Date 5/6/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. ANDREW TOLEDO

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