10D0966708 CLIA NUMBER - MUSCULOSKELETAL AMBULATORY SURGERY CENTER

Laboratory Demographics

CLIA Number: 10D0966708

Facility Name: MUSCULOSKELETAL AMBULATORY SURGERY CENTER

Facility Address:
8000 STATE ROAD 64 EAST SUITE 205
BRADENTON, FL
ZIP 34212
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Facility Phone Number: (941) 782-0101

Facility Type: AMBULATORY SURGERY CENTER

Certificate Type: Waiver

NPI Number: 1639237092

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0966708
LAB Type	AMBULATORY SURGERY CENTER
Facility Name	MUSCULOSKELETAL AMBULATORY SURGERY CENTER
Street	8000 STATE ROAD 64 EAST SUITE 205
City	BRADENTON
State	FL
ZIP	34212
Phone	(941) 782-0101

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This page was last updated on: 5/11/2023