MARIETTA PLASTIC SURGERY
NPI 1417116567
Clinic/Center - Ambulatory Surgical in Marietta, GA
About Marietta Plastic Surgery NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIETTA PLASTIC SURGERY (NPI 1417116567) is a healthcare organization registered as an ambulatory surgical in Marietta, Georgia and active in the NPI registry since June 2008. The organization holds a CLIA Waiver certificate valid through April 2, 2027 and lists Donald Keith West, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D0954036
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- April 03, 2025
- Certificate Expiration Date
- April 02, 2027
- Laboratory Director
- NANCY TOWNSEND
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Marietta Plastic Surgery to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 11 providers are registered at the same or a nearby location.
MARIETTA, GA 30060
MARIETTA, GA 30060
MARIETTA, GA 30060
MARIETTA, GA 30060
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417116567, enumerated as an "organization" on June 04, 2008.
The provider is located at 823 CAMPBELL HILL ST NW MARIETTA, GA 30060 and the phone number is (770) 425-0118.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
