11D2171120 CLIA NUMBER - VISION EYE SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 11D2171120
  • Facility Name: VISION EYE SURGERY CENTER, LLC
  • Facility Address: 4050 RIVERSIDE DRIVE
    MACON, GA
    ZIP 31210
  • Facility Phone: 478 744-1710
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DAVID BOONE
  • NPI Number: 1013471721
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 11D2171120
LAB Type Ambulatory Surgery Center
Facility Name VISION EYE SURGERY CENTER, LLC
Street 4050 RIVERSIDE DRIVE
City MACON
State GA
ZIP 31210
Phone 478 744-1710
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2023
Certificate Expiration Date 8/26/2025
Facility Type Ambulatory Surgery Center
Lab Director DAVID BOONE

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This page was last updated on: 6/4/2025