44D0990607 CLIA NUMBER - ATHENS SURGERY CENTER, LLC DBA THE SURGERY CENTER OF ATHENS

Laboratory Demographics

  • CLIA Code: 44D0990607
  • Facility Name: ATHENS SURGERY CENTER, LLC DBA THE SURGERY CENTER OF ATHENS
  • Facility Address: 105 NORTH MEADOWS DRIVE
    ATHENS, TN
    ZIP 37303
  • Facility Phone: 423 649-3300
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL SUMIDA
  • NPI Number: 1316290380
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D0990607
LAB Type Ambulatory Surgery Center
Facility Name ATHENS SURGERY CENTER, LLC DBA THE SURGERY CENTER OF ATHENS
Street 105 NORTH MEADOWS DRIVE
City ATHENS
State TN
ZIP 37303
Phone 423 649-3300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2025
Certificate Expiration Date 8/27/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. MICHAEL SUMIDA

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