11D2016429 CLIA NUMBER - BROOKSTONE AMBULATORY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 11D2016429
  • Facility Name: BROOKSTONE AMBULATORY SURGERY CENTER
  • Facility Address: 2430 BROOKSTONE CENTRE PARKWAY
    COLUMBUS, GA
    ZIP 31904
  • Facility Phone: 706 494-7700
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: VINCENT A. NAMAN
  • NPI Number: 1275836645
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2016429
LAB Type Ambulatory Surgery Center
Facility Name BROOKSTONE AMBULATORY SURGERY CENTER
Street 2430 BROOKSTONE CENTRE PARKWAY
City COLUMBUS
State GA
ZIP 31904
Phone 706 494-7700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2024
Certificate Expiration Date 11/17/2026
Facility Type Ambulatory Surgery Center
Lab Director VINCENT A. NAMAN

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