10D0902322 CLIA NUMBER - SURGICARE CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D0902322
  • Facility Name: SURGICARE CENTER LLC
  • Facility Address: 4101 EVANS AVE
    FORT MYERS, FL
    ZIP 33901
  • Facility Phone: 239 320-7342
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: TIMOTHY A. QUINN
  • NPI Number: 1952477333
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0902322
LAB Type Ambulatory Surgery Center
Facility Name SURGICARE CENTER LLC
Street 4101 EVANS AVE
City FORT MYERS
State FL
ZIP 33901
Phone 239 320-7342
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2025
Certificate Expiration Date 6/18/2027
Facility Type Ambulatory Surgery Center
Lab Director TIMOTHY A. QUINN

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