11D2312395 CLIA NUMBER - MACON EYE SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 11D2312395
  • Facility Name: MACON EYE SURGERY CENTER, LLC
  • Facility Address: 864 1ST STREET
    MACON, GA
    ZIP 31201
  • Facility Phone: 478 741-6522
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: LISA M. BARKER
  • NPI Number: 1356497747
  • Taxonomy: 261QS0132X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2312395
LAB Type Ambulatory Surgery Center
Facility Name MACON EYE SURGERY CENTER, LLC
Street 864 1ST STREET
City MACON
State GA
ZIP 31201
Phone 478 741-6522
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2024
Certificate Expiration Date 10/9/2026
Facility Type Ambulatory Surgery Center
Lab Director LISA M. BARKER

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