11D2143814 CLIA NUMBER - ATLANTA SPINE SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 11D2143814
  • Facility Name: ATLANTA SPINE SURGERY CENTER, LLC
  • Facility Address: 60 PEACHTREE PARK DRIVE, NE
    ATLANTA, GA
    ZIP 30309
  • Facility Phone: 678 369-6934
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: HARVINDER S. BHATTI
  • NPI Number: 1598319766
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 11D2143814
LAB Type Ambulatory Surgery Center
Facility Name ATLANTA SPINE SURGERY CENTER, LLC
Street 60 PEACHTREE PARK DRIVE, NE
City ATLANTA
State GA
ZIP 30309
Phone 678 369-6934
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/6/2024
Certificate Expiration Date 2/5/2026
Facility Type Ambulatory Surgery Center
Lab Director HARVINDER S. BHATTI

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