11D2014836 CLIA NUMBER - GEORGIA SPINE SURGERY CTR, LLC

Laboratory Demographics

  • CLIA Code: 11D2014836
  • Facility Name: GEORGIA SPINE SURGERY CTR, LLC
  • Facility Address: 1061 DOWDY ROAD, SUITE 103
    ATHENS, GA
    ZIP 30606
  • Facility Phone: 770 584-6325
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: BRYAN B. BARNES
  • NPI Number: 1407169212
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2014836
LAB Type Ambulatory Surgery Center
Facility Name GEORGIA SPINE SURGERY CTR, LLC
Street 1061 DOWDY ROAD, SUITE 103
City ATHENS
State GA
ZIP 30606
Phone 770 584-6325
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2024
Certificate Expiration Date 10/17/2026
Facility Type Ambulatory Surgery Center
Lab Director BRYAN B. BARNES

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