11D2076515 CLIA NUMBER - AHS SURGERY CENTER CANTON, LLC

Laboratory Demographics

  • CLIA Code: 11D2076515
  • Facility Name: AHS SURGERY CENTER CANTON, LLC
  • Facility Address: 201 KIMBERLY WAY SUITE 100
    CANTON, GA
    ZIP 30114
  • Facility Phone: 770 333-7888
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. PATEL VIRALKUMAR
  • NPI Number: 1225457948
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2076515
LAB Type Ambulatory Surgery Center
Facility Name AHS SURGERY CENTER CANTON, LLC
Street 201 KIMBERLY WAY SUITE 100
City CANTON
State GA
ZIP 30114
Phone 770 333-7888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2024
Certificate Expiration Date 4/21/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. PATEL VIRALKUMAR

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