10D0951111 CLIA NUMBER - OUTPATIENT SURGERY CENTER OF BOCA

Laboratory Demographics

  • CLIA Code: 10D0951111
  • Facility Name: OUTPATIENT SURGERY CENTER OF BOCA
  • Facility Address: 950 NW 13TH STREET
    BOCA RATON, FL
    ZIP 33486
  • Facility Phone: 561 391-7642
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: HOWARD B. GOLDMAN
  • NPI Number: 1457323107
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0951111
LAB Type Ambulatory Surgery Center
Facility Name OUTPATIENT SURGERY CENTER OF BOCA
Street 950 NW 13TH STREET
City BOCA RATON
State FL
ZIP 33486
Phone 561 391-7642
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2024
Certificate Expiration Date 9/13/2026
Facility Type Ambulatory Surgery Center
Lab Director HOWARD B. GOLDMAN

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