11D0967217 CLIA NUMBER - ATLANTA CENTER FOR RECONSTRUCTIVE FOOT & ANKLE SURGERY LLC

Laboratory Demographics

CLIA Number: 11D0967217

Facility Name: ATLANTA CENTER FOR RECONSTRUCTIVE FOOT & ANKLE SURGERY LLC

Facility Address:
218 SANDY SPRINGS PLACE
SANDY SPRINGS, GA
ZIP 30328
Get Directions

Facility Phone Number: 404 257-0611

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1538168471

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	11D0967217
LAB Type	Ambulatory Surgery Center
Facility Name	ATLANTA CENTER FOR RECONSTRUCTIVE FOOT & ANKLE SURGERY LLC
Street	218 SANDY SPRINGS PLACE
City	SANDY SPRINGS
State	GA
ZIP	30328
Phone	404 257-0611
CertificateType	4
CertificateEffectiveDate	11/5/2023
CertificateExpirationDate	11/4/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024