11D2006611 CLIA NUMBER - ORTHOCARE SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 11D2006611
  • Facility Name: ORTHOCARE SURGERY CENTER, LLC
  • Facility Address: 619 POINTE NORTH BOULEVARD
    ALBANY, GA
    ZIP 31721
  • Facility Phone: 229 903-4060
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: PAUL A. MICHAS
  • NPI Number: 1881910818
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2006611
LAB Type Ambulatory Surgery Center
Facility Name ORTHOCARE SURGERY CENTER, LLC
Street 619 POINTE NORTH BOULEVARD
City ALBANY
State GA
ZIP 31721
Phone 229 903-4060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2024
Certificate Expiration Date 4/26/2026
Facility Type Ambulatory Surgery Center
Lab Director PAUL A. MICHAS

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