11D1048894 CLIA NUMBER - UNIVERSAL AMBULATORY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 11D1048894
  • Facility Name: UNIVERSAL AMBULATORY SURGERY CENTER
  • Facility Address: 1911 WARM SPRING ROAD
    COLUMBUS, GA
    ZIP 31904
  • Facility Phone: 706 653-5544
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: NDEM NDEM MD
  • NPI Number: 1639113921
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D1048894
LAB Type Ambulatory Surgery Center
Facility Name UNIVERSAL AMBULATORY SURGERY CENTER
Street 1911 WARM SPRING ROAD
City COLUMBUS
State GA
ZIP 31904
Phone 706 653-5544
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2023
Certificate Expiration Date 12/13/2025
Facility Type Ambulatory Surgery Center
Lab Director NDEM NDEM MD

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