11D2117631 CLIA NUMBER - RESURGENS EAST SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 11D2117631
  • Facility Name: RESURGENS EAST SURGERY CENTER
  • Facility Address: 3241IRIS DR, SUITE 100
    COVINGTON, GA
    ZIP 30016
  • Facility Phone: 678 422-4230
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. AMBER MARTIN-ROSS
  • NPI Number: 1952438186
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 11D2117631
LAB Type Ambulatory Surgery Center
Facility Name RESURGENS EAST SURGERY CENTER
Street 3241IRIS DR, SUITE 100
City COVINGTON
State GA
ZIP 30016
Phone 678 422-4230
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2024
Certificate Expiration Date 8/18/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. AMBER MARTIN-ROSS

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