10D1037887 CLIA NUMBER - SPACE COAST ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 10D1037887
  • Facility Name: SPACE COAST ENDOSCOPY CENTER
  • Facility Address: 1974 ROCKLEDGE BLVD STE 102
    ROCKLEDGE, FL
    ZIP 32955
  • Facility Phone: 321 504-4440
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: FRANCISCO AGUILO-SEARA MD
  • NPI Number: 1124092945
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1037887
LAB Type Ambulatory Surgery Center
Facility Name SPACE COAST ENDOSCOPY CENTER
Street 1974 ROCKLEDGE BLVD STE 102
City ROCKLEDGE
State FL
ZIP 32955
Phone 321 504-4440
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2025
Certificate Expiration Date 3/6/2027
Facility Type Ambulatory Surgery Center
Lab Director FRANCISCO AGUILO-SEARA MD

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