10D0990324 CLIA NUMBER - SANCTUARY SURGICAL CENTRE

Laboratory Demographics

CLIA Number: 10D0990324

Facility Name: SANCTUARY SURGICAL CENTRE

Facility Address:
5503 N FEDERAL HWY
BOCA RATON, FL
ZIP 33487
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Facility Phone Number: 561 912-9888

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1477661551

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0990324
LAB Type	Ambulatory Surgery Center
Facility Name	SANCTUARY SURGICAL CENTRE
Street	5503 N FEDERAL HWY
City	BOCA RATON
State	FL
ZIP	33487
Phone	561 912-9888
CertificateType	4
CertificateEffectiveDate	1/5/2023
CertificateExpirationDate	1/4/2025
FacilityType	Waiver

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