11D1056282 CLIA NUMBER - WELLSTAR OP SURGERY CENTER COLUMBIA COUNTY AFFILIATED WITH MCG

Laboratory Demographics

CLIA Number: 11D1056282

Facility Name: WELLSTAR OP SURGERY CENTER COLUMBIA COUNTY AFFILIATED WITH MCG

Facility Address:
4300 UNIVERSITY PARKWAY
EVANS, GA
ZIP 30809
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Facility Phone Number: 706 854-3000

Facility Type: Ambulatory Surgery Center

Certificate Type: Accreditation

NPI Number: 1598775231

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	11D1056282
LAB Type	Ambulatory Surgery Center
Facility Name	WELLSTAR OP SURGERY CENTER COLUMBIA COUNTY AFFILIATED WITH MCG
Street	4300 UNIVERSITY PARKWAY
City	EVANS
State	GA
ZIP	30809
Phone	706 854-3000
CertificateType	1
CertificateEffectiveDate	6/21/2023
CertificateExpirationDate	6/20/2025
FacilityType	Accreditation

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