11D2175344 CLIA NUMBER - KARE ASC, LLC

Laboratory Demographics

CLIA Number: 11D2175344

Facility Name: KARE ASC, LLC

Facility Address:
4165 OLD MILTON PARKWAY, SUITE 150 B
ALPHARETTA, GA
ZIP 30005
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Facility Phone Number: 678 878-4555

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1225675812

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 11D2175344
LAB Type Ambulatory Surgery Center
Facility Name KARE ASC, LLC
Street 4165 OLD MILTON PARKWAY, SUITE 150 B
City ALPHARETTA
State GA
ZIP 30005
Phone 678 878-4555
CertificateType 4
CertificateEffectiveDate 11/20/2023
CertificateExpirationDate 11/19/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024