11D2213107 CLIA NUMBER - LUNATE SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 11D2213107
  • Facility Name: LUNATE SURGERY CENTER, LLC
  • Facility Address: 6115 PEACHTREE DUNWOODY ROAD SUITE 230
    SANDY SPRINGS, GA
    ZIP 30328
  • Facility Phone: 770 333-7888
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: PATEL VIRALKUMAR
  • NPI Number: 1932709490
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2213107
LAB Type Ambulatory Surgery Center
Facility Name LUNATE SURGERY CENTER, LLC
Street 6115 PEACHTREE DUNWOODY ROAD SUITE 230
City SANDY SPRINGS
State GA
ZIP 30328
Phone 770 333-7888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2025
Certificate Expiration Date 2/9/2027
Facility Type Ambulatory Surgery Center
Lab Director PATEL VIRALKUMAR

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