11D2277853 CLIA NUMBER - EVANS PROCEDURE CENTER

Laboratory Demographics

  • CLIA Code: 11D2277853
  • Facility Name: EVANS PROCEDURE CENTER
  • Facility Address: 404 TOWN PARK BOULEVARD, SUITE 102
    EVANS, GA
    ZIP 30809
  • Facility Phone: (706) 922-7246
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: HEMANT YAGNICK
  • NPI Number: 1518279504
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2277853
LAB Type Ambulatory Surgery Center
Facility Name EVANS PROCEDURE CENTER
Street 404 TOWN PARK BOULEVARD, SUITE 102
City EVANS
State GA
ZIP 30809
Phone 7069227246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2025
Certificate Expiration Date 3/6/2027
Facility Type Ambulatory Surgery Center
Lab Director HEMANT YAGNICK

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This page was last updated on: 5/18/2026