10D0884892 CLIA NUMBER - BOCA RATON OUTPATIENT SURGERY & LASER CENTER

Laboratory Demographics

CLIA Number: 10D0884892

Facility Name: BOCA RATON OUTPATIENT SURGERY & LASER CENTER

Facility Address:
501 GLADES RD
BOCA RATON, FL
ZIP 33432
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Facility Phone Number: 561 638-7577

Facility Type: Ambulatory Surgery Center

Certificate Type: Accreditation

NPI Number: 1023109576

Taxonomy: 261QR0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0884892
LAB Type	Ambulatory Surgery Center
Facility Name	BOCA RATON OUTPATIENT SURGERY & LASER CENTER
Street	501 GLADES RD
City	BOCA RATON
State	FL
ZIP	33432
Phone	561 638-7577
CertificateType	1
CertificateEffectiveDate	8/27/2022
CertificateExpirationDate	8/26/2024
FacilityType	Accreditation

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