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11D1054478 CLIA NUMBER - ATHENS ORTHOPEDIC CLINIC ASC

Laboratory Demographics

CLIA Number: 11D1054478

Facility Name: ATHENS ORTHOPEDIC CLINIC ASC

Facility Address:
1765 OLD WEST BROAD ST, BLDG 1, SUITE 300
ATHENS, GA
ZIP 30606
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Facility Phone Number: 706 549-1003

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver
NPI Number: 1376018408

Taxonomy: 207X00000X - Orthopaedic Surgery
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

CLIA Record

Field Name Field Value
CLIA Number 11D1054478
LAB Type Ambulatory Surgery Center
Facility Name ATHENS ORTHOPEDIC CLINIC ASC
Street 1765 OLD WEST BROAD ST, BLDG 1, SUITE 300
City ATHENS
State GA
ZIP 30606
Phone 706 549-1003
CertificateType 4
CertificateEffectiveDate 5/23/2022
CertificateExpirationDate 5/22/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024