11D2266239 CLIA NUMBER - EYE MD SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 11D2266239
  • Facility Name: EYE MD SURGERY CENTER
  • Facility Address: 14 VISION STREET, SUITE 200
    BETHLEHEM, GA
    ZIP 30620
  • Facility Phone: 770 868-0101
  • Facility Type: Other - EYE SURGERY
  • Facility Type: Waiver
  • Lab Director: MANAN I. SHAH
  • NPI Number: 1306571278
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2266239
LAB Type Other - EYE SURGERY
Facility Name EYE MD SURGERY CENTER
Street 14 VISION STREET, SUITE 200
City BETHLEHEM
State GA
ZIP 30620
Phone 770 868-0101
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2024
Certificate Expiration Date 8/8/2026
Facility Type Other - EYE SURGERY
Lab Director MANAN I. SHAH

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