11D2012246 CLIA NUMBER - ATHENS ENDOSCOPY, LLC

Laboratory Demographics

  • CLIA Code: 11D2012246
  • Facility Name: ATHENS ENDOSCOPY, LLC
  • Facility Address: 21 JEFFERSON PLACE, SUITE 2
    ATHENS, GA
    ZIP 30601
  • Facility Phone: 706 548-0058
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: GREGORY S. SMITH
  • NPI Number: 1558662858
  • Taxonomy: 261QE0800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2012246
LAB Type Ambulatory Surgery Center
Facility Name ATHENS ENDOSCOPY, LLC
Street 21 JEFFERSON PLACE, SUITE 2
City ATHENS
State GA
ZIP 30601
Phone 706 548-0058
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2024
Certificate Expiration Date 8/30/2026
Facility Type Ambulatory Surgery Center
Lab Director GREGORY S. SMITH

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