11D2298778 CLIA NUMBER - EMORY AMBULATORY SURGERY CENTER AT TUCKER

Laboratory Demographics

  • CLIA Code: 11D2298778
  • Facility Name: EMORY AMBULATORY SURGERY CENTER AT TUCKER
  • Facility Address: 1491 MONTREAL ROAD
    TUCKER, GA
    ZIP 30084
  • Facility Phone: 404 778-6234
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: LYNDSEY HEAD
  • NPI Number: 1952098667
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2298778
LAB Type Ambulatory Surgery Center
Facility Name EMORY AMBULATORY SURGERY CENTER AT TUCKER
Street 1491 MONTREAL ROAD
City TUCKER
State GA
ZIP 30084
Phone 404 778-6234
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2024
Certificate Expiration Date 2/7/2026
Facility Type Ambulatory Surgery Center
Lab Director LYNDSEY HEAD

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