11D1057795 CLIA NUMBER - COSMETIC SURGEONS OF GEORGIA, LLC DBA MEADOWS SURGICAL ARTS

Laboratory Demographics

  • CLIA Code: 11D1057795
  • Facility Name: COSMETIC SURGEONS OF GEORGIA, LLC DBA MEADOWS SURGICAL ARTS
  • Facility Address: 30931 US HIGHWAY 441 S
    COMMERCE, GA
    ZIP 30529
  • Facility Phone: 706 282-5238
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL KLUSKA
  • NPI Number: 1942435516
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 11D1057795
LAB Type Physician Office
Facility Name COSMETIC SURGEONS OF GEORGIA, LLC DBA MEADOWS SURGICAL ARTS
Street 30931 US HIGHWAY 441 S
City COMMERCE
State GA
ZIP 30529
Phone 706 282-5238
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2024
Certificate Expiration Date 8/21/2026
Facility Type Physician Office
Lab Director DR. MICHAEL KLUSKA

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