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11D2034683 CLIA NUMBER - ATHENS ORTHOPEDIC CLINIC, PA

Laboratory Demographics

CLIA Number: 11D2034683

Facility Name: ATHENS ORTHOPEDIC CLINIC, PA

Facility Address:
1765 OLD WEST BROAD ST, BLDG 2, SUITE 200
ATHENS, GA
ZIP 30606
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Facility Phone Number: 706 286-7351

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1215320338

Taxonomy: 207X00000X - Orthopaedic Surgery
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

CLIA Record

Field Name Field Value
CLIA Number 11D2034683
LAB Type Physician Office
Facility Name ATHENS ORTHOPEDIC CLINIC, PA
Street 1765 OLD WEST BROAD ST, BLDG 2, SUITE 200
City ATHENS
State GA
ZIP 30606
Phone 706 286-7351
CertificateType 4
CertificateEffectiveDate 1/3/2024
CertificateExpirationDate 1/2/2026
FacilityType Waiver

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