11D0951562 CLIA NUMBER - VOA AMBULATORY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 11D0951562
  • Facility Name: VOA AMBULATORY SURGERY CENTER
  • Facility Address: 3527-B NORTH VALDOSTA RD
    VALDOSTA, GA
    ZIP 31602
  • Facility Phone: 912 247-2290
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JOHN P. KENDRICK MD
  • NPI Number: 1689736118
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D0951562
LAB Type Ambulatory Surgery Center
Facility Name VOA AMBULATORY SURGERY CENTER
Street 3527-B NORTH VALDOSTA RD
City VALDOSTA
State GA
ZIP 31602
Phone 912 247-2290
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2024
Certificate Expiration Date 9/21/2026
Facility Type Ambulatory Surgery Center
Lab Director JOHN P. KENDRICK MD

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