11D1001029 CLIA NUMBER - HAMILTON AMBULATORY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 11D1001029
  • Facility Name: HAMILTON AMBULATORY SURGERY CENTER
  • Facility Address: 1250 BROADRICK DRIVE
    DALTON, GA
    ZIP 30720
  • Facility Phone: (706) 876-5000
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: KRISTI M. HOUSE
  • NPI Number: 1588604391
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D1001029
LAB Type Ambulatory Surgery Center
Facility Name HAMILTON AMBULATORY SURGERY CENTER
Street 1250 BROADRICK DRIVE
City DALTON
State GA
ZIP 30720
Phone 7068765000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/28/2024
Certificate Expiration Date 6/27/2026
Facility Type Ambulatory Surgery Center
Lab Director KRISTI M. HOUSE

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This page was last updated on: 5/18/2026