10D0997071 CLIA NUMBER - CHARLOTTE ENDOSCOPIC SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D0997071
  • Facility Name: CHARLOTTE ENDOSCOPIC SURGERY CENTER LLC
  • Facility Address: 23970 SUNCOAST BLVD
    PORT CHARLOTTE, FL
    ZIP 33980
  • Facility Phone: 941 625-3636
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SOVI JOSEPH
  • NPI Number: 1730175159
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0997071
LAB Type Ambulatory Surgery Center
Facility Name CHARLOTTE ENDOSCOPIC SURGERY CENTER LLC
Street 23970 SUNCOAST BLVD
City PORT CHARLOTTE
State FL
ZIP 33980
Phone 941 625-3636
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2024
Certificate Expiration Date 3/4/2026
Facility Type Ambulatory Surgery Center
Lab Director SOVI JOSEPH

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