11D0942346 CLIA NUMBER - CLAYTON CATARACT & LASER SURGERY CTR

Laboratory Demographics

CLIA Number: 11D0942346

Facility Name: CLAYTON CATARACT & LASER SURGERY CTR

Facility Address:
1000 CORPORATE CT DR STE 100
MORROW, GA
ZIP 30260
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Facility Phone Number: 770 968-8888

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1629181136

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 11D0942346
LAB Type Ambulatory Surgery Center
Facility Name CLAYTON CATARACT & LASER SURGERY CTR
Street 1000 CORPORATE CT DR STE 100
City MORROW
State GA
ZIP 30260
Phone 770 968-8888
CertificateType 4
CertificateEffectiveDate 3/10/2024
CertificateExpirationDate 3/9/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024