11D2025784 CLIA NUMBER - ATLANTA HAND SPECIALIST SURGERY CENTER, LLC

Laboratory Demographics

CLIA Number: 11D2025784

Facility Name: ATLANTA HAND SPECIALIST SURGERY CENTER, LLC

Facility Address:
3968 FELTON HILL ROAD, SW, SUITE 110
SMYRNA, GA
ZIP 30082
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Facility Phone Number: 770 333-7888

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1689127763

Taxonomy: 225XH1200X - Occupational Therapist

CLIA Record

Field Name Field Value
CLIA Number 11D2025784
LAB Type Ambulatory Surgery Center
Facility Name ATLANTA HAND SPECIALIST SURGERY CENTER, LLC
Street 3968 FELTON HILL ROAD, SW, SUITE 110
City SMYRNA
State GA
ZIP 30082
Phone 770 333-7888
CertificateType 4
CertificateEffectiveDate 6/16/2023
CertificateExpirationDate 6/15/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024