11D0956317 CLIA NUMBER - CENTRAL GA HEAD & NECK SURGERY CTR INC

Laboratory Demographics

  • CLIA Code: 11D0956317
  • Facility Name: CENTRAL GA HEAD & NECK SURGERY CTR INC
  • Facility Address: 540 HEMLOCK STREET
    MACON, GA
    ZIP 31201
  • Facility Phone: 478 743-8953
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ERIN C. SCARBOROUGH
  • NPI Number: 1205874906
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D0956317
LAB Type Ambulatory Surgery Center
Facility Name CENTRAL GA HEAD & NECK SURGERY CTR INC
Street 540 HEMLOCK STREET
City MACON
State GA
ZIP 31201
Phone 478 743-8953
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2025
Certificate Expiration Date 1/25/2027
Facility Type Ambulatory Surgery Center
Lab Director ERIN C. SCARBOROUGH

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