11D1014685 CLIA NUMBER - GAINESVILLE ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 11D1014685
  • Facility Name: GAINESVILLE ENDOSCOPY CENTER
  • Facility Address: 2324 LIMESTONE OVERLOOK, SUITE 200
    GAINESVILLE, GA
    ZIP 30501
  • Facility Phone: 770 297-5324
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. SCOTT CLARK
  • NPI Number: 1114181138
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 11D1014685
LAB Type Ambulatory Surgery Center
Facility Name GAINESVILLE ENDOSCOPY CENTER
Street 2324 LIMESTONE OVERLOOK, SUITE 200
City GAINESVILLE
State GA
ZIP 30501
Phone 770 297-5324
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2024
Certificate Expiration Date 8/14/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. SCOTT CLARK

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