10D1047124 CLIA NUMBER - CLEARWAY SURGERY CENTER

Laboratory Demographics

CLIA Number: 10D1047124

Facility Name: CLEARWAY SURGERY CENTER

Facility Address:
5102 N DAVIS HWY
PENSACOLA, FL
ZIP 32503
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Facility Phone Number: 850 549-4016

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1144291923

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D1047124
LAB Type	Ambulatory Surgery Center
Facility Name	CLEARWAY SURGERY CENTER
Street	5102 N DAVIS HWY
City	PENSACOLA
State	FL
ZIP	32503
Phone	850 549-4016
CertificateType	4
CertificateEffectiveDate	10/26/2023
CertificateExpirationDate	10/25/2025
FacilityType	Waiver

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