11D2257640 CLIA NUMBER - EYE CONSULTANTS FAYETTEVILLE SURGERY CENTER

Laboratory Demographics

CLIA Number: 11D2257640

Facility Name: EYE CONSULTANTS FAYETTEVILLE SURGERY CENTER

Facility Address:
350 BRANDYWINE BOULEVARD, SUITE 101
FAYETTEVILLE, GA
ZIP 30214
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Facility Phone Number: 678 429-8855

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1003547803

Taxonomy: 207W00000X - Ophthalmology
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

CLIA Record

Field Name	Field Value
CLIA Number	11D2257640
LAB Type	Ambulatory Surgery Center
Facility Name	EYE CONSULTANTS FAYETTEVILLE SURGERY CENTER
Street	350 BRANDYWINE BOULEVARD, SUITE 101
City	FAYETTEVILLE
State	GA
ZIP	30214
Phone	678 429-8855
CertificateType	4
CertificateEffectiveDate	4/8/2024
CertificateExpirationDate	4/7/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024