11D2258243 CLIA NUMBER - ENT SURGICAL SOLUTIONS

Laboratory Demographics

  • CLIA Code: 11D2258243
  • Facility Name: ENT SURGICAL SOLUTIONS
  • Facility Address: 3915 JOHNS CREEK CT, SUITE 120
    SUWANEE, GA
    ZIP 30024
  • Facility Phone: 470 655-5299
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. MATTHEW CARMICHAEL
  • NPI Number: 1881264315
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2258243
LAB Type Ambulatory Surgery Center
Facility Name ENT SURGICAL SOLUTIONS
Street 3915 JOHNS CREEK CT, SUITE 120
City SUWANEE
State GA
ZIP 30024
Phone 470 655-5299
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2024
Certificate Expiration Date 4/18/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. MATTHEW CARMICHAEL

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