11D2091292 CLIA NUMBER - AXIS SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 11D2091292
  • Facility Name: AXIS SURGERY CENTER, LLC
  • Facility Address: 230 SHERATON BLVD SUITE B
    MACON, GA
    ZIP 31210
  • Facility Phone: 478 474-2947
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: CHANDRESH VIRADIA
  • NPI Number: 1396141545
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2091292
LAB Type Ambulatory Surgery Center
Facility Name AXIS SURGERY CENTER, LLC
Street 230 SHERATON BLVD SUITE B
City MACON
State GA
ZIP 31210
Phone 478 474-2947
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2025
Certificate Expiration Date 2/9/2027
Facility Type Ambulatory Surgery Center
Lab Director CHANDRESH VIRADIA

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