10D0989356 CLIA NUMBER - WESTSIDE OUTPATIENT CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D0989356
  • Facility Name: WESTSIDE OUTPATIENT CENTER LLC
  • Facility Address: 460 N STATE ROAD 7
    ROYAL PALM BEACH, FL
    ZIP 33411
  • Facility Phone: 561 792-7333
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: HARVEYO MONTIJO
  • NPI Number: 1003847500
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0989356
LAB Type Ambulatory Surgery Center
Facility Name WESTSIDE OUTPATIENT CENTER LLC
Street 460 N STATE ROAD 7
City ROYAL PALM BEACH
State FL
ZIP 33411
Phone 561 792-7333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2025
Certificate Expiration Date 7/24/2027
Facility Type Ambulatory Surgery Center
Lab Director HARVEYO MONTIJO

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