36D1028234 CLIA NUMBER - ATHENS SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 36D1028234
  • Facility Name: ATHENS SURGERY CENTER
  • Facility Address: 75 HOSPITAL DRIVE SUITE 100
    ATHENS, OH
    ZIP 45701
  • Facility Phone: 740 566-4500
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: TARI MCCULLOCH
  • NPI Number: 1881686293
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D1028234
LAB Type Ambulatory Surgery Center
Facility Name ATHENS SURGERY CENTER
Street 75 HOSPITAL DRIVE SUITE 100
City ATHENS
State OH
ZIP 45701
Phone 740 566-4500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2024
Certificate Expiration Date 7/20/2026
Facility Type Ambulatory Surgery Center
Lab Director TARI MCCULLOCH

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