11D2317943 CLIA NUMBER - CLAYTON EYE SURGEONS

Laboratory Demographics

  • CLIA Code: 11D2317943
  • Facility Name: CLAYTON EYE SURGEONS
  • Facility Address: 500 PLAZA PARKWAY
    MCDONOUGH, GA
    ZIP 30253
  • Facility Phone: 770 968-8888
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNIFER L. KIM
  • NPI Number: 1316094576
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 11D2317943
LAB Type Physician Office
Facility Name CLAYTON EYE SURGEONS
Street 500 PLAZA PARKWAY
City MCDONOUGH
State GA
ZIP 30253
Phone 770 968-8888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2025
Certificate Expiration Date 2/3/2027
Facility Type Physician Office
Lab Director JENNIFER L. KIM

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