10D0877154 CLIA NUMBER - ONE DAY SURGERY

Laboratory Demographics

CLIA Number: 10D0877154

Facility Name: ONE DAY SURGERY

Facility Address:
1715 SE TIFFANY AVE
PORT SAINT LUCIE, FL
ZIP 34952
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Facility Phone Number: 772 335-7005

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1336165091

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0877154
LAB Type	Ambulatory Surgery Center
Facility Name	ONE DAY SURGERY
Street	1715 SE TIFFANY AVE
City	PORT SAINT LUCIE
State	FL
ZIP	34952
Phone	772 335-7005
CertificateType	4
CertificateEffectiveDate	9/29/2023
CertificateExpirationDate	9/28/2025
FacilityType	Waiver

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