11D2004824 CLIA NUMBER - LIMESTONE SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 11D2004824
  • Facility Name: LIMESTONE SURGERY CENTER, LLC
  • Facility Address: 2406 LIGHTHOUSE MANOR DRIE, SUITE B
    GAINESVILLE, GA
    ZIP 30501
  • Facility Phone: 770 536-4352
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: BRENNAN P. WOOD
  • NPI Number: 1407188659
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2004824
LAB Type Ambulatory Surgery Center
Facility Name LIMESTONE SURGERY CENTER, LLC
Street 2406 LIGHTHOUSE MANOR DRIE, SUITE B
City GAINESVILLE
State GA
ZIP 30501
Phone 770 536-4352
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2024
Certificate Expiration Date 3/14/2026
Facility Type Ambulatory Surgery Center
Lab Director BRENNAN P. WOOD

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