10D1052744 CLIA NUMBER - PARKCREEK ASC, LLC DBA PARKCREEK SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 10D1052744
  • Facility Name: PARKCREEK ASC, LLC DBA PARKCREEK SURGERY CENTER
  • Facility Address: 6806 N STATE RD 7
    COCONUT CREEK, FL
    ZIP 33073
  • Facility Phone: (954) 312-3501
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: GARY HINDIN
  • NPI Number: 1467405837
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1052744
LAB Type Ambulatory Surgery Center
Facility Name PARKCREEK ASC, LLC DBA PARKCREEK SURGERY CENTER
Street 6806 N STATE RD 7
City COCONUT CREEK
State FL
ZIP 33073
Phone 9543123501
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2026
Certificate Expiration Date 4/2/2028
Facility Type Ambulatory Surgery Center
Lab Director GARY HINDIN

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This page was last updated on: 6/29/2026