11D2118407 CLIA NUMBER - MIDTOWN SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 11D2118407
  • Facility Name: MIDTOWN SURGERY CENTER
  • Facility Address: 1224 STARK AVENUE
    COLUMBUS, GA
    ZIP 31906
  • Facility Phone: 706 478-3070
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: GARY DAWSON
  • NPI Number: 1295287522
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2118407
LAB Type Ambulatory Surgery Center
Facility Name MIDTOWN SURGERY CENTER
Street 1224 STARK AVENUE
City COLUMBUS
State GA
ZIP 31906
Phone 706 478-3070
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2024
Certificate Expiration Date 9/6/2026
Facility Type Ambulatory Surgery Center
Lab Director GARY DAWSON

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