11D2107265 CLIA NUMBER - RADIUS SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 11D2107265
  • Facility Name: RADIUS SURGERY CENTER, LLC
  • Facility Address: 600 PROFESSIONAL DRIVE , SUITE 150
    LAWRENCEVILLE, GA
    ZIP 30046
  • Facility Phone: 770 333-7888
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: VIRALKUMAR PATEL
  • NPI Number: 1215302906
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2107265
LAB Type Ambulatory Surgery Center
Facility Name RADIUS SURGERY CENTER, LLC
Street 600 PROFESSIONAL DRIVE , SUITE 150
City LAWRENCEVILLE
State GA
ZIP 30046
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 1/11/2024
Certificate Expiration Date 1/10/2026
Facility Type Ambulatory Surgery Center
Lab Director VIRALKUMAR PATEL

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