11D2315271 CLIA NUMBER - SUMMIT ENDOSCOPY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 11D2315271
  • Facility Name: SUMMIT ENDOSCOPY CENTER, LLC
  • Facility Address: 1665 HIGHWAY 34 EAST, SUITE 200
    NEWNAN, GA
    ZIP 30265
  • Facility Phone: (678) 326-4812
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. JOHN BURNEY
  • NPI Number: 1952141756
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2315271
LAB Type Ambulatory Surgery Center
Facility Name SUMMIT ENDOSCOPY CENTER, LLC
Street 1665 HIGHWAY 34 EAST, SUITE 200
City NEWNAN
State GA
ZIP 30265
Phone 6783264812
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2024
Certificate Expiration Date 12/9/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. JOHN BURNEY

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This page was last updated on: 5/18/2026