11D2161235 CLIA NUMBER - ATLANTA SURGERY NORTH

Laboratory Demographics

  • CLIA Code: 11D2161235
  • Facility Name: ATLANTA SURGERY NORTH
  • Facility Address: 11660 ALPHARETTA HIGHWAY, BUILDING 700, SUITE 730
    ROSWELL, GA
    ZIP 30076
  • Facility Phone: 678 344-8900
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ROBERT B. RAYBON
  • NPI Number: 1851865828
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2161235
LAB Type Ambulatory Surgery Center
Facility Name ATLANTA SURGERY NORTH
Street 11660 ALPHARETTA HIGHWAY, BUILDING 700, SUITE 730
City ROSWELL
State GA
ZIP 30076
Phone 678 344-8900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2025
Certificate Expiration Date 1/28/2027
Facility Type Ambulatory Surgery Center
Lab Director ROBERT B. RAYBON

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