11D2088341 CLIA NUMBER - CARPUS SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 11D2088341
  • Facility Name: CARPUS SURGERY CENTER, LLC
  • Facility Address: 3775 ROSWELL RD SUITE 275
    MARIETTA, GA
    ZIP 30062
  • Facility Phone: 770 333-7888
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: VIRALKUMAR PATEL
  • NPI Number: 1568864452
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2088341
LAB Type Ambulatory Surgery Center
Facility Name CARPUS SURGERY CENTER, LLC
Street 3775 ROSWELL RD SUITE 275
City MARIETTA
State GA
ZIP 30062
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 12/15/2024
Certificate Expiration Date 12/14/2026
Facility Type Ambulatory Surgery Center
Lab Director VIRALKUMAR PATEL

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