11D0960345 CLIA NUMBER - EYE ASSOCIATES SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 11D0960345
  • Facility Name: EYE ASSOCIATES SURGERY CENTER
  • Facility Address: 3024 NORTH PATTERSON ST
    VALDOSTA, GA
    ZIP 31602
  • Facility Phone: 229 247-0557
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ALBERT GONZALEZ
  • NPI Number: 1487782637
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D0960345
LAB Type Ambulatory Surgery Center
Facility Name EYE ASSOCIATES SURGERY CENTER
Street 3024 NORTH PATTERSON ST
City VALDOSTA
State GA
ZIP 31602
Phone 229 247-0557
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/7/2025
Certificate Expiration Date 5/6/2027
Facility Type Ambulatory Surgery Center
Lab Director ALBERT GONZALEZ

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