10D0933358 CLIA NUMBER - FLAGLER HOSPITAL INC DBA FLAGLER SURGERY CENTER

Laboratory Demographics

CLIA Number: 10D0933358

Facility Name: FLAGLER HOSPITAL INC DBA FLAGLER SURGERY CENTER

Facility Address:
180 SOUTHPARK BLVD
SAINT AUGUSTINE, FL
ZIP 32086
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Facility Phone Number: 904 819-4360

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1144211020

Taxonomy: 282N00000X - General Acute Care Hospital
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

CLIA Record

Field Name	Field Value
CLIA Number	10D0933358
LAB Type	Ambulatory Surgery Center
Facility Name	FLAGLER HOSPITAL INC DBA FLAGLER SURGERY CENTER
Street	180 SOUTHPARK BLVD
City	SAINT AUGUSTINE
State	FL
ZIP	32086
Phone	904 819-4360
CertificateType	4
CertificateEffectiveDate	3/6/2023
CertificateExpirationDate	3/5/2025
FacilityType	Waiver

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