11D2085117 CLIA NUMBER - AOS SURGERY CENTER,LLC

Laboratory Demographics

CLIA Number: 11D2085117

Facility Name: AOS SURGERY CENTER,LLC

Facility Address:
1290 INTERSTATE PKWY
AUGUSTA, GA
ZIP 30909
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Facility Phone Number: 706 863-9797

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1225458755

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 11D2085117
LAB Type Ambulatory Surgery Center
Facility Name AOS SURGERY CENTER,LLC
Street 1290 INTERSTATE PKWY
City AUGUSTA
State GA
ZIP 30909
Phone 706 863-9797
CertificateType 4
CertificateEffectiveDate 10/8/2022
CertificateExpirationDate 10/7/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024