11D2177510 CLIA NUMBER - FORSYTH EYE SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 11D2177510
  • Facility Name: FORSYTH EYE SURGERY CENTER, LLC
  • Facility Address: 1034 HAW CREEK CIRCLE, SUITE 200
    CUMMING, GA
    ZIP 30041
  • Facility Phone: (678) 381-2020
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MILAN R. PATEL
  • NPI Number: 1649746090
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2177510
LAB Type Ambulatory Surgery Center
Facility Name FORSYTH EYE SURGERY CENTER, LLC
Street 1034 HAW CREEK CIRCLE, SUITE 200
City CUMMING
State GA
ZIP 30041
Phone 6783812020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2026
Certificate Expiration Date 1/13/2028
Facility Type Ambulatory Surgery Center
Lab Director MILAN R. PATEL

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This page was last updated on: 5/18/2026