11D2177348 CLIA NUMBER - GC SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 11D2177348
  • Facility Name: GC SURGERY CENTER, LLC
  • Facility Address: 6326 PEAKE ROAD
    MACON, GA
    ZIP 31210
  • Facility Phone: 478 246-7474
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JOSHUA R. GROVES
  • NPI Number: 1831746007
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2177348
LAB Type Ambulatory Surgery Center
Facility Name GC SURGERY CENTER, LLC
Street 6326 PEAKE ROAD
City MACON
State GA
ZIP 31210
Phone 478 246-7474
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2024
Certificate Expiration Date 1/8/2026
Facility Type Ambulatory Surgery Center
Lab Director JOSHUA R. GROVES

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