11D2015405 CLIA NUMBER - NORTH COLUMBUS SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 11D2015405
  • Facility Name: NORTH COLUMBUS SURGERY CENTER, LLC
  • Facility Address: 7351 OLD MOON ROAD, SUITE C
    COLUMBUS, GA
    ZIP 31909
  • Facility Phone: 706 653-7000
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SUNG K. CHANG
  • NPI Number: 1013212927
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2015405
LAB Type Ambulatory Surgery Center
Facility Name NORTH COLUMBUS SURGERY CENTER, LLC
Street 7351 OLD MOON ROAD, SUITE C
City COLUMBUS
State GA
ZIP 31909
Phone 706 653-7000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2024
Certificate Expiration Date 10/26/2026
Facility Type Ambulatory Surgery Center
Lab Director SUNG K. CHANG

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