10D0902322 CLIA NUMBER - SURGICARE CENTER INC

Laboratory Demographics

CLIA Number: 10D0902322

Facility Name: SURGICARE CENTER INC

Facility Address:
4101 EVANS AVE
FORT MYERS, FL
ZIP 33901
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Facility Phone Number: 239 320-7342

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1952477333

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0902322
LAB Type	Ambulatory Surgery Center
Facility Name	SURGICARE CENTER INC
Street	4101 EVANS AVE
City	FORT MYERS
State	FL
ZIP	33901
Phone	239 320-7342
CertificateType	4
CertificateEffectiveDate	6/19/2023
CertificateExpirationDate	6/18/2025
FacilityType	Waiver

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