11D2236490 CLIA NUMBER - HOUSTON ASC, LLC

Laboratory Demographics

  • CLIA Code: 11D2236490
  • Facility Name: HOUSTON ASC, LLC
  • Facility Address: 1659 WATSON BOULEVARD
    WARNER ROBINS, GA
    ZIP 31093
  • Facility Phone: 478 329-3100
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DONNA N. RIDDLE
  • NPI Number: 1376115279
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2236490
LAB Type Ambulatory Surgery Center
Facility Name HOUSTON ASC, LLC
Street 1659 WATSON BOULEVARD
City WARNER ROBINS
State GA
ZIP 31093
Phone 478 329-3100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2025
Certificate Expiration Date 9/16/2027
Facility Type Ambulatory Surgery Center
Lab Director DONNA N. RIDDLE

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