11D2017907 CLIA NUMBER - LAKEVIEW SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 11D2017907
  • Facility Name: LAKEVIEW SURGERY CENTER
  • Facility Address: 100 JIM MASON COURT, SUITE B
    WARNER ROBINS, GA
    ZIP 31088
  • Facility Phone: 478 971-4001
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. CHANDRESH V. VIRADIA
  • NPI Number: 1972803898
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2017907
LAB Type Ambulatory Surgery Center
Facility Name LAKEVIEW SURGERY CENTER
Street 100 JIM MASON COURT, SUITE B
City WARNER ROBINS
State GA
ZIP 31088
Phone 478 971-4001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. CHANDRESH V. VIRADIA

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