10D0993943 CLIA NUMBER - DESTIN SURGERY CENTER LTD

Laboratory Demographics

  • CLIA Code: 10D0993943
  • Facility Name: DESTIN SURGERY CENTER LTD
  • Facility Address: 1225 AIRPORT ROAD
    DESTIN, FL
    ZIP 32541
  • Facility Phone: 850 650-7606
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SAMUEL BUDNYK
  • NPI Number: 1871594275
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0993943
LAB Type Ambulatory Surgery Center
Facility Name DESTIN SURGERY CENTER LTD
Street 1225 AIRPORT ROAD
City DESTIN
State FL
ZIP 32541
Phone 850 650-7606
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2023
Certificate Expiration Date 11/28/2025
Facility Type Ambulatory Surgery Center
Lab Director SAMUEL BUDNYK

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