11D0942816 CLIA NUMBER - GASTROENTEROLOGY ENDOSCOPY CENTER INC

Laboratory Demographics

  • CLIA Code: 11D0942816
  • Facility Name: GASTROENTEROLOGY ENDOSCOPY CENTER INC
  • Facility Address: 550 PEACHTREE STREET NORTH EAST, SUITE 1750
    ATLANTA, GA
    ZIP 30308
  • Facility Phone: 404 875-8669
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: GARY C. RICHTER
  • NPI Number: 1306964853
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D0942816
LAB Type Ambulatory Surgery Center
Facility Name GASTROENTEROLOGY ENDOSCOPY CENTER INC
Street 550 PEACHTREE STREET NORTH EAST, SUITE 1750
City ATLANTA
State GA
ZIP 30308
Phone 404 875-8669
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2024
Certificate Expiration Date 3/17/2026
Facility Type Ambulatory Surgery Center
Lab Director GARY C. RICHTER

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