11D1017530 CLIA NUMBER - ADVANCED EYE SURGERY LASER CENTER

Laboratory Demographics

  • CLIA Code: 11D1017530
  • Facility Name: ADVANCED EYE SURGERY LASER CENTER
  • Facility Address: 625 SOUTH ENOTA DRIVE N E
    GAINESVILLE, GA
    ZIP 30501
  • Facility Phone: 770 532-0292
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: WILLIAM C. ACKERMAN
  • NPI Number: 1629107545
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D1017530
LAB Type Ambulatory Surgery Center
Facility Name ADVANCED EYE SURGERY LASER CENTER
Street 625 SOUTH ENOTA DRIVE N E
City GAINESVILLE
State GA
ZIP 30501
Phone 770 532-0292
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2025
Certificate Expiration Date 9/28/2027
Facility Type Ambulatory Surgery Center
Lab Director WILLIAM C. ACKERMAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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