11D1029229 CLIA NUMBER - STEPHEN LOBER PLASTIC SURGERY, PC

Laboratory Demographics

  • CLIA Code: 11D1029229
  • Facility Name: STEPHEN LOBER PLASTIC SURGERY, PC
  • Facility Address: 2325 PRINCE AVENUE
    ATHENS, GA
    ZIP 30606
  • Facility Phone: 706 369-8440
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: STEPHEN B. LOBER
  • NPI Number: 1073032579
  • Taxonomy: 208200000X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 11D1029229
LAB Type Ambulatory Surgery Center
Facility Name STEPHEN LOBER PLASTIC SURGERY, PC
Street 2325 PRINCE AVENUE
City ATHENS
State GA
ZIP 30606
Phone 706 369-8440
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2024
Certificate Expiration Date 12/12/2026
Facility Type Ambulatory Surgery Center
Lab Director STEPHEN B. LOBER

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