11D0985939 CLIA NUMBER - ACADEMY ORTHOPEDICS LLC AMBULATORY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 11D0985939
  • Facility Name: ACADEMY ORTHOPEDICS LLC AMBULATORY SURGERY CENTER
  • Facility Address: 318 TRIBBLE GAP RD
    CUMMING, GA
    ZIP 30040
  • Facility Phone: 770 886-5038
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JESSE E. SEIDMAN
  • NPI Number: 1356317903
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 11D0985939
LAB Type Ambulatory Surgery Center
Facility Name ACADEMY ORTHOPEDICS LLC AMBULATORY SURGERY CENTER
Street 318 TRIBBLE GAP RD
City CUMMING
State GA
ZIP 30040
Phone 770 886-5038
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2025
Certificate Expiration Date 5/1/2027
Facility Type Ambulatory Surgery Center
Lab Director JESSE E. SEIDMAN

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