10D0915871 CLIA NUMBER - BETHESDA OUTPATIENT SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D0915871
  • Facility Name: BETHESDA OUTPATIENT SURGERY CENTER LLC
  • Facility Address: 6910 S DIXIE HIGHWAY
    WEST PALM BEACH, FL
    ZIP 33405
  • Facility Phone: 561 374-5550
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: BASIM ELHABASHY
  • NPI Number: 1801054473
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 10D0915871
LAB Type Ambulatory Surgery Center
Facility Name BETHESDA OUTPATIENT SURGERY CENTER LLC
Street 6910 S DIXIE HIGHWAY
City WEST PALM BEACH
State FL
ZIP 33405
Phone 561 374-5550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2024
Certificate Expiration Date 6/9/2026
Facility Type Ambulatory Surgery Center
Lab Director BASIM ELHABASHY

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