11D2294936 CLIA NUMBER - ASTRA PLASTIC SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 11D2294936
  • Facility Name: ASTRA PLASTIC SURGERY CENTER
  • Facility Address: 3330 PRESTON RIDGE ROAD, STE 390
    ALPHARETTA, GA
    ZIP 30005
  • Facility Phone: 678 208-6008
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER D. KILLINGSWORTH
  • NPI Number: 1992063606
  • Taxonomy: 2086S0122X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 11D2294936
LAB Type Ambulatory Surgery Center
Facility Name ASTRA PLASTIC SURGERY CENTER
Street 3330 PRESTON RIDGE ROAD, STE 390
City ALPHARETTA
State GA
ZIP 30005
Phone 678 208-6008
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2023
Certificate Expiration Date 12/3/2025
Facility Type Ambulatory Surgery Center
Lab Director CHRISTOPHER D. KILLINGSWORTH

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