11D2050081 CLIA NUMBER - HEMLOCK AMBULATORY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 11D2050081
  • Facility Name: HEMLOCK AMBULATORY SURGERY CENTER
  • Facility Address: 101 PRESTON COURT, SUITE 104
    MACON, GA
    ZIP 31220
  • Facility Phone: (478) 745-2385
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MR. STEPHEN TAFOR
  • NPI Number: 1427307578
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2050081
LAB Type Ambulatory Surgery Center
Facility Name HEMLOCK AMBULATORY SURGERY CENTER
Street 101 PRESTON COURT, SUITE 104
City MACON
State GA
ZIP 31220
Phone 4787452385
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2024
Certificate Expiration Date 11/19/2026
Facility Type Ambulatory Surgery Center
Lab Director MR. STEPHEN TAFOR

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This page was last updated on: 5/18/2026