11D2107848 CLIA NUMBER - ALBANY REGIONAL PLASTIC SURGERY

Laboratory Demographics

  • CLIA Code: 11D2107848
  • Facility Name: ALBANY REGIONAL PLASTIC SURGERY
  • Facility Address: 2101 PALMYRA RD
    ALBANY, GA
    ZIP 31701
  • Facility Phone: 229 889-1021
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: STANLEY J. MOYE
  • NPI Number: 1174608376
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 11D2107848
LAB Type Ambulatory Surgery Center
Facility Name ALBANY REGIONAL PLASTIC SURGERY
Street 2101 PALMYRA RD
City ALBANY
State GA
ZIP 31701
Phone 229 889-1021
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2024
Certificate Expiration Date 1/24/2026
Facility Type Ambulatory Surgery Center
Lab Director STANLEY J. MOYE

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