10D1025582 CLIA NUMBER - FORT LAUDERDALE MEDICAL SURGICAL ASSOCIATES

Laboratory Demographics

CLIA Number: 10D1025582

Facility Name: FORT LAUDERDALE MEDICAL SURGICAL ASSOCIATES

Facility Address:
2301 WILTON DR C-2
WILTON MANORS, FL
ZIP 33305
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Facility Phone Number: 954 567-5898

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1134473663

Taxonomy: 208C00000X - Colon & Rectal Surgery
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

CLIA Record

Field Name	Field Value
CLIA Number	10D1025582
LAB Type	Physician Office
Facility Name	FORT LAUDERDALE MEDICAL SURGICAL ASSOCIATES
Street	2301 WILTON DR C-2
City	WILTON MANORS
State	FL
ZIP	33305
Phone	954 567-5898
CertificateType	4
CertificateEffectiveDate	5/12/2024
CertificateExpirationDate	5/11/2026
FacilityType	Waiver

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