10D0951712 CLIA NUMBER - TAMPA BAY SURGERY CENTER

Laboratory Demographics

CLIA Number: 10D0951712

Facility Name: TAMPA BAY SURGERY CENTER

Facility Address:
11811 NORTH DALE MABRY HWY
TAMPA, FL
ZIP 33618
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Facility Phone Number: 813 961-8500

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1093766735

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0951712
LAB Type	Ambulatory Surgery Center
Facility Name	TAMPA BAY SURGERY CENTER
Street	11811 NORTH DALE MABRY HWY
City	TAMPA
State	FL
ZIP	33618
Phone	813 961-8500
CertificateType	4
CertificateEffectiveDate	9/25/2022
CertificateExpirationDate	9/24/2024
FacilityType	Waiver

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