11D1040015 CLIA NUMBER - AMBULATORY PLASTIC SURGERY CENTER INCORPORATE

Laboratory Demographics

  • CLIA Code: 11D1040015
  • Facility Name: AMBULATORY PLASTIC SURGERY CENTER INCORPORATE
  • Facility Address: 2522 WARM SPRINGS ROAD
    COLUMBUS, GA
    ZIP 31904
  • Facility Phone: 706 322-9313
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ASHISH K. JAIN MD
  • NPI Number: 1679599062
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D1040015
LAB Type Ambulatory Surgery Center
Facility Name AMBULATORY PLASTIC SURGERY CENTER INCORPORATE
Street 2522 WARM SPRINGS ROAD
City COLUMBUS
State GA
ZIP 31904
Phone 706 322-9313
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2025
Certificate Expiration Date 4/26/2027
Facility Type Ambulatory Surgery Center
Lab Director ASHISH K. JAIN MD

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