11D2234576 CLIA NUMBER - SOUTHEAST EYE LASER SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 11D2234576
  • Facility Name: SOUTHEAST EYE LASER SURGERY CENTER
  • Facility Address: 3215 SHRINE ROAD BUILDING 8
    BRUNSWICK, GA
    ZIP 31520
  • Facility Phone: 706 296-7932
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SANDRA NEMETZ
  • NPI Number: 1346912250
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2234576
LAB Type Ambulatory Surgery Center
Facility Name SOUTHEAST EYE LASER SURGERY CENTER
Street 3215 SHRINE ROAD BUILDING 8
City BRUNSWICK
State GA
ZIP 31520
Phone 706 296-7932
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2025
Certificate Expiration Date 8/31/2027
Facility Type Ambulatory Surgery Center
Lab Director SANDRA NEMETZ

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