11D2167514 CLIA NUMBER - SOUTHEASTERN SURGERY & SLEEP APNEA TREATMENT CENTER , LLC

Laboratory Demographics

  • CLIA Code: 11D2167514
  • Facility Name: SOUTHEASTERN SURGERY & SLEEP APNEA TREATMENT CENTER , LLC
  • Facility Address: 1909 N COLUMBIA STREET
    MILLEDGEVILLE, GA
    ZIP 31061
  • Facility Phone: 478 295-3000
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: JOHN W. SOUZA
  • NPI Number: 1760467682
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 11D2167514
LAB Type Other - URGENT CARE
Facility Name SOUTHEASTERN SURGERY & SLEEP APNEA TREATMENT CENTER , LLC
Street 1909 N COLUMBIA STREET
City MILLEDGEVILLE
State GA
ZIP 31061
Phone 478 295-3000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2023
Certificate Expiration Date 12/11/2025
Facility Type Other - URGENT CARE
Lab Director JOHN W. SOUZA

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