11D2008322 CLIA NUMBER - ATHENS EYE SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 11D2008322
  • Facility Name: ATHENS EYE SURGERY CENTER
  • Facility Address: 105 TRINITY PLACE
    ATHENS, GA
    ZIP 30607
  • Facility Phone: 706 549-9993
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ANTHONY L. DEMARCO
  • NPI Number: 1457683914
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2008322
LAB Type Ambulatory Surgery Center
Facility Name ATHENS EYE SURGERY CENTER
Street 105 TRINITY PLACE
City ATHENS
State GA
ZIP 30607
Phone 706 549-9993
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2024
Certificate Expiration Date 6/8/2026
Facility Type Ambulatory Surgery Center
Lab Director ANTHONY L. DEMARCO

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