11D0964293 CLIA NUMBER - ADVANCED SURGERY CENTER-PERIMETER

Laboratory Demographics

  • CLIA Code: 11D0964293
  • Facility Name: ADVANCED SURGERY CENTER-PERIMETER
  • Facility Address: 1100 JOHNSON FERRY ROAD, NE, SUITE 300
    ATLANTA, GA
    ZIP 30342
  • Facility Phone: 404 843-3478
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MICHAEL S. WEINSTEIN
  • NPI Number: 1366820276
  • Taxonomy: 237600000X - Audiologist-Hearing Aid Fitter

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CLIA Record

Field Name Field Value
CLIA Number 11D0964293
LAB Type Ambulatory Surgery Center
Facility Name ADVANCED SURGERY CENTER-PERIMETER
Street 1100 JOHNSON FERRY ROAD, NE, SUITE 300
City ATLANTA
State GA
ZIP 30342
Phone 404 843-3478
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2025
Certificate Expiration Date 8/22/2027
Facility Type Ambulatory Surgery Center
Lab Director MICHAEL S. WEINSTEIN

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