10D1003767 CLIA NUMBER - SURGERY CENTER OF AVENTURA

Laboratory Demographics

CLIA Number: 10D1003767

Facility Name: SURGERY CENTER OF AVENTURA

Facility Address:
20601 EAST DIXIE HIGHWAY SUITE 400
AVENTURA, FL
ZIP 33180
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Facility Phone Number: 305 792-0323

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1477594422

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D1003767
LAB Type	Ambulatory Surgery Center
Facility Name	SURGERY CENTER OF AVENTURA
Street	20601 EAST DIXIE HIGHWAY SUITE 400
City	AVENTURA
State	FL
ZIP	33180
Phone	305 792-0323
CertificateType	4
CertificateEffectiveDate	3/27/2024
CertificateExpirationDate	3/26/2026
FacilityType	Waiver

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