10D1022761 CLIA NUMBER - CENTRAL PALM BEACH SURGERY CENTER, LTD

Laboratory Demographics

CLIA Number: 10D1022761

Facility Name: CENTRAL PALM BEACH SURGERY CENTER, LTD

Facility Address:
2047 PALM BEACH LAKES BLVD # 200
WEST PALM BEACH, FL
ZIP 33409
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Facility Phone Number: 561 721-6880

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1033434485

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 10D1022761
LAB Type Ambulatory Surgery Center
Facility Name CENTRAL PALM BEACH SURGERY CENTER, LTD
Street 2047 PALM BEACH LAKES BLVD # 200
City WEST PALM BEACH
State FL
ZIP 33409
Phone 561 721-6880
CertificateType 4
CertificateEffectiveDate 2/25/2024
CertificateExpirationDate 2/24/2026
FacilityType Waiver

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