10D0951111 CLIA NUMBER - OUTPATIENT SURGERY CENTER OF BOCA

Laboratory Demographics

CLIA Number: 10D0951111

Facility Name: OUTPATIENT SURGERY CENTER OF BOCA

Facility Address:
950 NW 13TH STREET
BOCA RATON, FL
ZIP 33486
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Facility Phone Number: 561 391-7642

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1457323107

Taxonomy: 261QA1903X - Clinic/Center

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
CertificateType	4
CertificateEffectiveDate	9/14/2022
CertificateExpirationDate	9/13/2024
FacilityType	Waiver

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