11D2282628 CLIA NUMBER - THE CENTER FOR SPINE PROCEDURES, LLC

Laboratory Demographics

  • CLIA Code: 11D2282628
  • Facility Name: THE CENTER FOR SPINE PROCEDURES, LLC
  • Facility Address: 1301 SIGMAN ROAD, SUITE 120
    CONYERS, GA
    ZIP 30012
  • Facility Phone: 770 760-9360
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. ANTHONY R. GRASSO
  • NPI Number: 1093586851
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2282628
LAB Type Ambulatory Surgery Center
Facility Name THE CENTER FOR SPINE PROCEDURES, LLC
Street 1301 SIGMAN ROAD, SUITE 120
City CONYERS
State GA
ZIP 30012
Phone 770 760-9360
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2025
Certificate Expiration Date 5/23/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. ANTHONY R. GRASSO

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