10D0645435 CLIA NUMBER - OUTPATIENT SURGICAL SERVICES

Laboratory Demographics

CLIA Number: 10D0645435

Facility Name: OUTPATIENT SURGICAL SERVICES

Facility Address:
301 NW 82ND AVE
PLANTATION, FL
ZIP 33324
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Facility Phone Number: 954 473-6600

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1427012202

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0645435
LAB Type	Ambulatory Surgery Center
Facility Name	OUTPATIENT SURGICAL SERVICES
Street	301 NW 82ND AVE
City	PLANTATION
State	FL
ZIP	33324
Phone	954 473-6600
CertificateType	4
CertificateEffectiveDate	4/8/2023
CertificateExpirationDate	4/7/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024