11D2315300 CLIA NUMBER - LIMBS VASCULAR INTERVENTIONS ASC

Laboratory Demographics

  • CLIA Code: 11D2315300
  • Facility Name: LIMBS VASCULAR INTERVENTIONS ASC
  • Facility Address: 1825 HIGHWAY 34 E SUITE 3400A
    NEWNAN, GA
    ZIP 30265
  • Facility Phone: 770 400-9588
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: OGHENERUKEVWE ODIETE
  • NPI Number: 1467284992
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2315300
LAB Type Ambulatory Surgery Center
Facility Name LIMBS VASCULAR INTERVENTIONS ASC
Street 1825 HIGHWAY 34 E SUITE 3400A
City NEWNAN
State GA
ZIP 30265
Phone 770 400-9588
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 OGHENERUKEVWE ODIETE

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