10D0917177 CLIA NUMBER - TREASURE COAST CENTER FOR SURGERY

Laboratory Demographics

  • CLIA Code: 10D0917177
  • Facility Name: TREASURE COAST CENTER FOR SURGERY
  • Facility Address: 1155 SE MONTEREY RD EXT
    STUART, FL
    ZIP 34994
  • Facility Phone: 772 286-8028
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: WILLIAM E. CARLSON
  • NPI Number: 1790252864
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0917177
LAB Type Ambulatory Surgery Center
Facility Name TREASURE COAST CENTER FOR SURGERY
Street 1155 SE MONTEREY RD EXT
City STUART
State FL
ZIP 34994
Phone 772 286-8028
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2024
Certificate Expiration Date 7/10/2026
Facility Type Ambulatory Surgery Center
Lab Director WILLIAM E. CARLSON

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