11D2291812 CLIA NUMBER - WEST GEORGIA EYE CARE CENTER

Laboratory Demographics

  • CLIA Code: 11D2291812
  • Facility Name: WEST GEORGIA EYE CARE CENTER
  • Facility Address: 6600 WHITTLESEY BOULEVARD
    COLUMBUS, GA
    ZIP 31909
  • Facility Phone: 706 323-3491
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EVAN SUSSENBACH
  • NPI Number: 1154019453
  • Taxonomy: 237700000X - Hearing Instrument Specialist

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CLIA Record

Field Name Field Value
CLIA Number 11D2291812
LAB Type Physician Office
Facility Name WEST GEORGIA EYE CARE CENTER
Street 6600 WHITTLESEY BOULEVARD
City COLUMBUS
State GA
ZIP 31909
Phone 706 323-3491
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2023
Certificate Expiration Date 10/16/2025
Facility Type Physician Office
Lab Director EVAN SUSSENBACH

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