11D0944160 CLIA NUMBER - ATLANTA ENDOSCOPY CENTER LTD

Laboratory Demographics

  • CLIA Code: 11D0944160
  • Facility Name: ATLANTA ENDOSCOPY CENTER LTD
  • Facility Address: 2665 NORTH DECATUR RD STE 545
    DECATUR, GA
    ZIP 30033
  • Facility Phone: 404 297-5000
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DAVID B. RAUSHER
  • NPI Number: 1639282932
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D0944160
LAB Type Ambulatory Surgery Center
Facility Name ATLANTA ENDOSCOPY CENTER LTD
Street 2665 NORTH DECATUR RD STE 545
City DECATUR
State GA
ZIP 30033
Phone 404 297-5000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2024
Certificate Expiration Date 4/7/2026
Facility Type Ambulatory Surgery Center
Lab Director DAVID B. RAUSHER

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