11D2189012 CLIA NUMBER - SPECIALTY ORTHOPAEDICS, PC

Laboratory Demographics

  • CLIA Code: 11D2189012
  • Facility Name: SPECIALTY ORTHOPAEDICS, PC
  • Facility Address: 667 LANIER PARK DRIVE
    GAINESVILLE, GA
    ZIP 30501
  • Facility Phone: 770 532-7202
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN G. VACHTSEVANOS
  • NPI Number: 1477652139
  • Taxonomy: 207X00000X - Orthopaedic Surgery

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2189012
LAB Type Physician Office
Facility Name SPECIALTY ORTHOPAEDICS, PC
Street 667 LANIER PARK DRIVE
City GAINESVILLE
State GA
ZIP 30501
Phone 770 532-7202
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/24/2024
Certificate Expiration Date 7/23/2026
Facility Type Physician Office
Lab Director JOHN G. VACHTSEVANOS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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