10D0885231 CLIA NUMBER - SANTA LUCIA SURGICAL CENTER LLC

Laboratory Demographics

CLIA Number: 10D0885231

Facility Name: SANTA LUCIA SURGICAL CENTER LLC

Facility Address:
2441 SW 37 AVE
MIAMI, FL
ZIP 33145
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Facility Phone Number: 305 442-0066

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1295793974

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0885231
LAB Type	Ambulatory Surgery Center
Facility Name	SANTA LUCIA SURGICAL CENTER LLC
Street	2441 SW 37 AVE
City	MIAMI
State	FL
ZIP	33145
Phone	305 442-0066
CertificateType	4
CertificateEffectiveDate	4/16/2024
CertificateExpirationDate	4/15/2026
FacilityType	Waiver

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