10D0975085 CLIA NUMBER - ORTHOPAEDIC SURGERY CENTER

Laboratory Demographics

CLIA Number: 10D0975085

Facility Name: ORTHOPAEDIC SURGERY CENTER

Facility Address:
4600 NEWBERRY RD
GAINESVILLE, FL
ZIP 32607
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Facility Phone Number: 352 367-2310

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1083689749

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0975085
LAB Type	Ambulatory Surgery Center
Facility Name	ORTHOPAEDIC SURGERY CENTER
Street	4600 NEWBERRY RD
City	GAINESVILLE
State	FL
ZIP	32607
Phone	352 367-2310
CertificateType	4
CertificateEffectiveDate	6/27/2022
CertificateExpirationDate	6/26/2024
FacilityType	Waiver

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