11D2307466 CLIA NUMBER - GEORGIA BMI SURGRY CENTER

Laboratory Demographics

  • CLIA Code: 11D2307466
  • Facility Name: GEORGIA BMI SURGRY CENTER
  • Facility Address: 2303 CUMBERLAND PKWY, SE
    ATLANTA, GA
    ZIP 30339
  • Facility Phone: 678 626-0909
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: NEGIN NIKOUNEJAD
  • NPI Number: 1992568711
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2307466
LAB Type Ambulatory Surgery Center
Facility Name GEORGIA BMI SURGRY CENTER
Street 2303 CUMBERLAND PKWY, SE
City ATLANTA
State GA
ZIP 30339
Phone 678 626-0909
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2024
Certificate Expiration Date 7/8/2026
Facility Type Ambulatory Surgery Center
Lab Director NEGIN NIKOUNEJAD

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