10D0897186 CLIA NUMBER - PHYSICIANS AMBULATORY SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 10D0897186
  • Facility Name: PHYSICIANS AMBULATORY SURGERY CENTER, LLC
  • Facility Address: 300 CLYDE MORRIS BLVD SUITE B
    ORMOND BEACH, FL
    ZIP 32174
  • Facility Phone: 386 672-1080
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: BERT M. MORROW MD
  • NPI Number: 1669483137
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0897186
LAB Type Ambulatory Surgery Center
Facility Name PHYSICIANS AMBULATORY SURGERY CENTER, LLC
Street 300 CLYDE MORRIS BLVD SUITE B
City ORMOND BEACH
State FL
ZIP 32174
Phone 386 672-1080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2025
Certificate Expiration Date 1/30/2027
Facility Type Ambulatory Surgery Center
Lab Director BERT M. MORROW MD

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This page was last updated on: 9/29/2025