11D2274408 CLIA NUMBER - PIEDMONT NEWNAN AMBULATORY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 11D2274408
  • Facility Name: PIEDMONT NEWNAN AMBULATORY SURGERY CENTER
  • Facility Address: 775 POPLAR ROAD, SUITE LL 10
    NEWNAN, GA
    ZIP 30265
  • Facility Phone: 770 400-2111
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: TAMELA SNYDER
  • NPI Number: 1750441200
  • Taxonomy: 207ZP0102X - Pathology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2274408
LAB Type Ambulatory Surgery Center
Facility Name PIEDMONT NEWNAN AMBULATORY SURGERY CENTER
Street 775 POPLAR ROAD, SUITE LL 10
City NEWNAN
State GA
ZIP 30265
Phone 770 400-2111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2025
Certificate Expiration Date 1/3/2027
Facility Type Ambulatory Surgery Center
Lab Director TAMELA SNYDER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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