11D2274820 CLIA NUMBER - SOUTHEASTERN ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 11D2274820
  • Facility Name: SOUTHEASTERN ENDOSCOPY CENTER
  • Facility Address: 2200 HAMILTON ROAD, SUITE A
    COLUMBUS, GA
    ZIP 31904
  • Facility Phone: 706 655-8800
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JORDAN M. JOINER
  • NPI Number: 1467196139
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2274820
LAB Type Ambulatory Surgery Center
Facility Name SOUTHEASTERN ENDOSCOPY CENTER
Street 2200 HAMILTON ROAD, SUITE A
City COLUMBUS
State GA
ZIP 31904
Phone 706 655-8800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2025
Certificate Expiration Date 1/10/2027
Facility Type Ambulatory Surgery Center
Lab Director JORDAN M. JOINER

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