10D0941825 CLIA NUMBER - TAMARAC SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 10D0941825
  • Facility Name: TAMARAC SURGERY CENTER
  • Facility Address: 4485 NORTH STATE ROAD 7
    LAUDERDALE LAKES, FL
    ZIP 33319
  • Facility Phone: 954 735-0096
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: GERARDO S. LANES
  • NPI Number: 1265466288
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0941825
LAB Type Ambulatory Surgery Center
Facility Name TAMARAC SURGERY CENTER
Street 4485 NORTH STATE ROAD 7
City LAUDERDALE LAKES
State FL
ZIP 33319
Phone 954 735-0096
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2024
Certificate Expiration Date 3/2/2026
Facility Type Ambulatory Surgery Center
Lab Director GERARDO S. LANES

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