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MODERNA SURGICAL CENTER, LLC
NPI 1619862240
Clinic/Center - Ambulatory Surgical in Alpharetta, GA

Active since June 12, 2025CLIA 11D2330918 · Waiver
12425 MORRIS RD STE B, ALPHARETTA, GA 30005(404) 255-2975 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Moderna Surgical Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MODERNA SURGICAL CENTER, LLC (NPI 1619862240) is a healthcare organization registered as an ambulatory surgical in Alpharetta, Georgia and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through September 23, 2027 and lists Bahair Ghazi, Owner/ President, as its authorized official.

NPPES Registry Identity

NPI1619862240
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMODERNA SURGICAL CENTER, LLC
Location Address12425 MORRIS RD STE BAlpharetta, GA 30005-4137
Mailing Address12425 Morris Rd Ste BAlpharetta, GA 30005-4137 · (404) 255-2975
Phone(404) 255-2975
Organization SubpartNo
Authorized OfficialBahair GhaziOwner/ President · (404) 931-4915
Enumeration DateJune 12, 2025
Last NPPES UpdateFebruary 10, 2026
NPPES CertifiedFebruary 10, 2026
✔ NPI 1619862240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
12425 MORRIS RD STE B, Alpharetta, GA 30005
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2330918

Moderna Surgical Center · Alpharetta, GA
Active · expires Sep 23, 2027
CLIA Number11D2330918
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 24, 2025
Certificate Expiration DateSeptember 23, 2027
Laboratory DirectorBahair Ghazi
Laboratory Phone(404) 255-2975
Laboratory LocationModerna Surgical Center12425 Morris Road, Suite B, Alpharetta, GA 30005
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Moderna Surgical Center, LLC's NPI number?

The NPI number for Moderna Surgical Center, LLC is 1619862240. It was assigned to this organization in the NPPES registry on June 12, 2025.

Where is Moderna Surgical Center, LLC located?

Moderna Surgical Center, LLC is located at 12425 Morris Rd Ste B, Alpharetta, GA 30005. The listed phone number is (404) 255-2975.

What is Moderna Surgical Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Moderna Surgical Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2330918) is associated with this NPI, valid through September 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Moderna Surgical Center, LLC was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.