10D0907648 CLIA NUMBER - MERRITT ISLAND SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 10D0907648
  • Facility Name: MERRITT ISLAND SURGERY CENTER
  • Facility Address: 220 N SYKES CREEK PKWY SUITE 101
    MERRITT ISLAND, FL
    ZIP 32953
  • Facility Phone: 321 459-0015
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: PETER HAUGHIE
  • NPI Number: 1437112455
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D0907648
LAB Type Ambulatory Surgery Center
Facility Name MERRITT ISLAND SURGERY CENTER
Street 220 N SYKES CREEK PKWY SUITE 101
City MERRITT ISLAND
State FL
ZIP 32953
Phone 321 459-0015
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2023
Certificate Expiration Date 10/17/2025
Facility Type Ambulatory Surgery Center
Lab Director PETER HAUGHIE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025