11D2230127 CLIA NUMBER - EMORY ENDOSCOPY CENTER AT DECATUR

Laboratory Demographics

  • CLIA Code: 11D2230127
  • Facility Name: EMORY ENDOSCOPY CENTER AT DECATUR
  • Facility Address: 2665 N DECATUR ROAD, SUITE 740
    DECATUR, GA
    ZIP 30030
  • Facility Phone: 404 544-1405
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: RANDALL NEWMAN
  • NPI Number: 1306472063
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2230127
LAB Type Ambulatory Surgery Center
Facility Name EMORY ENDOSCOPY CENTER AT DECATUR
Street 2665 N DECATUR ROAD, SUITE 740
City DECATUR
State GA
ZIP 30030
Phone 404 544-1405
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2025
Certificate Expiration Date 7/19/2027
Facility Type Ambulatory Surgery Center
Lab Director RANDALL NEWMAN

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