11D1079876 CLIA NUMBER - WEST METRO ENDOSCOPY CENTER LLC

Laboratory Demographics

  • CLIA Code: 11D1079876
  • Facility Name: WEST METRO ENDOSCOPY CENTER LLC
  • Facility Address: 8855 HOSPITAL DRIVE SUITE 102
    DOUGLASVILLE, GA
    ZIP 30134
  • Facility Phone: 678 784-5020
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: NADIA S. SANFORD
  • NPI Number: 1871764712
  • Taxonomy: 261QE0800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D1079876
LAB Type Ambulatory Surgery Center
Facility Name WEST METRO ENDOSCOPY CENTER LLC
Street 8855 HOSPITAL DRIVE SUITE 102
City DOUGLASVILLE
State GA
ZIP 30134
Phone 678 784-5020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2024
Certificate Expiration Date 2/7/2026
Facility Type Ambulatory Surgery Center
Lab Director NADIA S. SANFORD

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