11D2122985 CLIA NUMBER - AU SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 11D2122985
  • Facility Name: AU SURGERY CENTER, LLC
  • Facility Address: 1430 JOHN WESLEY GILBERT DRIVE
    AUGUSTA, GA
    ZIP 30912
  • Facility Phone: 706 721-2411
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MARK R. STEVENS
  • NPI Number: 1841733326
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2122985
LAB Type Ambulatory Surgery Center
Facility Name AU SURGERY CENTER, LLC
Street 1430 JOHN WESLEY GILBERT DRIVE
City AUGUSTA
State GA
ZIP 30912
Phone 706 721-2411
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2024
Certificate Expiration Date 12/11/2026
Facility Type Ambulatory Surgery Center
Lab Director MARK R. STEVENS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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