10D0898923 CLIA NUMBER - MELBOURNE SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 10D0898923
  • Facility Name: MELBOURNE SURGERY CENTER
  • Facility Address: 95 BULLDOG BLVD STE 104
    MELBOURNE, FL
    ZIP 32901
  • Facility Phone: 321 729-9493
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MARK HANLEY
  • NPI Number: 1013309459
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0898923
LAB Type Ambulatory Surgery Center
Facility Name MELBOURNE SURGERY CENTER
Street 95 BULLDOG BLVD STE 104
City MELBOURNE
State FL
ZIP 32901
Phone 321 729-9493
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2025
Certificate Expiration Date 5/7/2027
Facility Type Ambulatory Surgery Center
Lab Director MARK HANLEY

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