11D2052608 CLIA NUMBER - SOUTH ATLANTA NEUROSURGERY

Laboratory Demographics

  • CLIA Code: 11D2052608
  • Facility Name: SOUTH ATLANTA NEUROSURGERY
  • Facility Address: 900 EAGLES LANDING PKWY
    STOCKBRIDGE, GA
    ZIP 30281
  • Facility Phone: 770 997-0600
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. DEEPAK BHANDARI
  • NPI Number: 1366621237
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 11D2052608
LAB Type Physician Office
Facility Name SOUTH ATLANTA NEUROSURGERY
Street 900 EAGLES LANDING PKWY
City STOCKBRIDGE
State GA
ZIP 30281
Phone 770 997-0600
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 10/12/2024
Certificate Expiration Date 10/11/2026
Facility Type Physician Office
Lab Director DR. DEEPAK BHANDARI

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