10D0901370 CLIA NUMBER - EYE ASSOCIATES AMBULATORY SURGERY CENTER,THE

Laboratory Demographics

CLIA Number: 10D0901370

Facility Name: EYE ASSOCIATES AMBULATORY SURGERY CENTER,THE

Facility Address:
6002 POINTE WEST BLVD
BRADENTON, FL
ZIP 34209
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Facility Phone Number: 941 792-2020

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1568460889

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0901370
LAB Type	Ambulatory Surgery Center
Facility Name	EYE ASSOCIATES AMBULATORY SURGERY CENTER,THE
Street	6002 POINTE WEST BLVD
City	BRADENTON
State	FL
ZIP	34209
Phone	941 792-2020
CertificateType	4
CertificateEffectiveDate	5/23/2023
CertificateExpirationDate	5/22/2025
FacilityType	Waiver

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