10D0900861 CLIA NUMBER - NORTH FLORIDA SURGERY CENTER

Laboratory Demographics

CLIA Number: 10D0900861

Facility Name: NORTH FLORIDA SURGERY CENTER

Facility Address:
4600 N DAVIS HWY
PENSACOLA, FL
ZIP 32503
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Facility Phone Number: 850 494-0048

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1033113402

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0900861
LAB Type	Ambulatory Surgery Center
Facility Name	NORTH FLORIDA SURGERY CENTER
Street	4600 N DAVIS HWY
City	PENSACOLA
State	FL
ZIP	32503
Phone	850 494-0048
CertificateType	4
CertificateEffectiveDate	5/10/2023
CertificateExpirationDate	5/9/2025
FacilityType	Waiver

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