11D1005480 CLIA NUMBER - AUGUSTA ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 11D1005480
  • Facility Name: AUGUSTA ENDOSCOPY CENTER
  • Facility Address: 393 NORTH BELAIR ROAD, BLDG #2
    EVANS, GA
    ZIP 30809
  • Facility Phone: 706 863-9735
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: LINDA BEARD
  • NPI Number: 1265561419
  • Taxonomy: 261QE0800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D1005480
LAB Type Ambulatory Surgery Center
Facility Name AUGUSTA ENDOSCOPY CENTER
Street 393 NORTH BELAIR ROAD, BLDG #2
City EVANS
State GA
ZIP 30809
Phone 706 863-9735
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2024
Certificate Expiration Date 10/22/2026
Facility Type Ambulatory Surgery Center
Lab Director LINDA BEARD

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