10D1052749 CLIA NUMBER - MURDOCK AMBULATORY SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D1052749
  • Facility Name: MURDOCK AMBULATORY SURGERY CENTER LLC
  • Facility Address: 1400 EDUCATION WAY
    PORT CHARLOTTE, FL
    ZIP 33948
  • Facility Phone: 941 625-9800
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: KIMBERLY ANN GARTON
  • NPI Number: 1124125604
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1052749
LAB Type Ambulatory Surgery Center
Facility Name MURDOCK AMBULATORY SURGERY CENTER LLC
Street 1400 EDUCATION WAY
City PORT CHARLOTTE
State FL
ZIP 33948
Phone 941 625-9800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2024
Certificate Expiration Date 4/3/2026
Facility Type Ambulatory Surgery Center
Lab Director KIMBERLY ANN GARTON

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