10D0955679 CLIA NUMBER - SARASOTA PLASTIC SURGERY CENTER INC

Laboratory Demographics

  • CLIA Code: 10D0955679
  • Facility Name: SARASOTA PLASTIC SURGERY CENTER INC
  • Facility Address: 2255 S TAMIAMI TRAIL
    SARASOTA, FL
    ZIP 34239
  • Facility Phone: 941 366-8897
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DAVID L. MOBLEY
  • NPI Number: 1871644096
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0955679
LAB Type Ambulatory Surgery Center
Facility Name SARASOTA PLASTIC SURGERY CENTER INC
Street 2255 S TAMIAMI TRAIL
City SARASOTA
State FL
ZIP 34239
Phone 941 366-8897
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2025
Certificate Expiration Date 1/5/2027
Facility Type Ambulatory Surgery Center
Lab Director DAVID L. MOBLEY

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