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11D1104725 CLIA NUMBER - WOOLFSON AMBULATORY SURGICAL CENTER LLC

Laboratory Demographics

CLIA Number: 11D1104725

Facility Name: WOOLFSON AMBULATORY SURGICAL CENTER LLC

Facility Address:
800 MOUNT VERNON HIGHWAY NE SUITE 100 ATTN SUSAN SMITH
ATLANTA, GA
ZIP 30328
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Facility Phone Number: 770 804-1884

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver
NPI Number: 1194920900

Taxonomy: 207W00000X - Ophthalmology
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

CLIA Record

Field Name Field Value
CLIA Number 11D1104725
LAB Type Ambulatory Surgery Center
Facility Name WOOLFSON AMBULATORY SURGICAL CENTER LLC
Street 800 MOUNT VERNON HIGHWAY NE SUITE 100 ATTN SUSAN SMITH
City ATLANTA
State GA
ZIP 30328
Phone 770 804-1884
CertificateType 4
CertificateEffectiveDate 9/10/2023
CertificateExpirationDate 9/9/2025
FacilityType Waiver

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