11D2147174 CLIA NUMBER - ALPHARETTA EYE SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 11D2147174
  • Facility Name: ALPHARETTA EYE SURGERY CENTER
  • Facility Address: 2555 WESTSIDE PARKWAY, SUITE 325
    ALPHARETTA, GA
    ZIP 30004
  • Facility Phone: 678 381-2020
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MILAN R. PATEL
  • NPI Number: 1164938825
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2147174
LAB Type Ambulatory Surgery Center
Facility Name ALPHARETTA EYE SURGERY CENTER
Street 2555 WESTSIDE PARKWAY, SUITE 325
City ALPHARETTA
State GA
ZIP 30004
Phone 678 381-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2024
Certificate Expiration Date 4/15/2026
Facility Type Ambulatory Surgery Center
Lab Director MILAN R. PATEL

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