11D2048361 CLIA NUMBER - WOMEN'S CENTER FOR ADVANCED SURGERY

Laboratory Demographics

  • CLIA Code: 11D2048361
  • Facility Name: WOMEN'S CENTER FOR ADVANCED SURGERY
  • Facility Address: 1948 OLD OCILLA ROAD
    TIFTON, GA
    ZIP 31794
  • Facility Phone: 229 391-3500
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. JAMES A. HOWARD
  • NPI Number: 1295086049
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2048361
LAB Type Ambulatory Surgery Center
Facility Name WOMEN'S CENTER FOR ADVANCED SURGERY
Street 1948 OLD OCILLA ROAD
City TIFTON
State GA
ZIP 31794
Phone 229 391-3500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2024
Certificate Expiration Date 10/15/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. JAMES A. HOWARD

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