10D0891967 CLIA NUMBER - SURGERY CENTER OF CORAL GABLES LLC,THE

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Laboratory Demographics

CLIA Number: 10D0891967

Facility Name: SURGERY CENTER OF CORAL GABLES LLC,THE

Facility Address:
1097 SW LE JEUNE RD 2ND FLOOR
CORAL GABLES, FL
ZIP 33134
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Facility Phone Number: 305 461-3007

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1528459567

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0891967
LAB Type	Ambulatory Surgery Center
Facility Name	SURGERY CENTER OF CORAL GABLES LLC,THE
Street	1097 SW LE JEUNE RD 2ND FLOOR
City	CORAL GABLES
State	FL
ZIP	33134
Phone	305 461-3007
CertificateType	4
CertificateEffectiveDate	9/21/2022
CertificateExpirationDate	9/20/2024
FacilityType	Waiver

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