11D2083744 CLIA NUMBER - COSMETIC SURGEONS OF GEORGIA, LLC DBA MEADOWS SURGICAL ARTS

Laboratory Demographics

  • CLIA Code: 11D2083744
  • Facility Name: COSMETIC SURGEONS OF GEORGIA, LLC DBA MEADOWS SURGICAL ARTS
  • Facility Address: 2725 MALL OF GEORGIA BLVD
    BUFORD, GA
    ZIP 30519
  • Facility Phone: 706 335-3555
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL KLUSKA
  • NPI Number: 1316178171
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 11D2083744
LAB Type Physician Office
Facility Name COSMETIC SURGEONS OF GEORGIA, LLC DBA MEADOWS SURGICAL ARTS
Street 2725 MALL OF GEORGIA BLVD
City BUFORD
State GA
ZIP 30519
Phone 706 335-3555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2024
Certificate Expiration Date 9/10/2026
Facility Type Physician Office
Lab Director MICHAEL KLUSKA

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