10D1017148 CLIA NUMBER - RMG IVF/SURGERY CENTER LLC

Laboratory Demographics

CLIA Number: 10D1017148

Facility Name: RMG IVF/SURGERY CENTER LLC

Facility Address:
5249 E FLETCHER AVE
TAMPA, FL
ZIP 33617
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Facility Phone Number: 813 676-8822

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1255326302

Taxonomy: 261QA0006X - Clinic/Center
A fertility facility, which may be licensed, registered, or certified in some states, that is not hospital-based, where services are provided at a fixed specific location. An Ambulatory Fertility Facility does not provide overnight accommodations. The following fertility procedures may be performed at an Ambulatory Fertility Facility: In Vitro Fertilization (IVF), Gamete Intrafallopian Transfer (GIFT), Embryo Transfer-Thaw (ET-T), Zygote Intrafallopian Transfer (ZIFT), Donor OOCYTE (DO)

CLIA Record

Field Name	Field Value
CLIA Number	10D1017148
LAB Type	Ambulatory Surgery Center
Facility Name	RMG IVF/SURGERY CENTER LLC
Street	5249 E FLETCHER AVE
City	TAMPA
State	FL
ZIP	33617
Phone	813 676-8822
CertificateType	4
CertificateEffectiveDate	9/17/2023
CertificateExpirationDate	9/16/2025
FacilityType	Waiver

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