10D1072319 CLIA NUMBER - GOLD COAST SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 10D1072319
  • Facility Name: GOLD COAST SURGERY CENTER, LLC
  • Facility Address: 1750 ENGLEWOOD RD
    ENGLEWOOD, FL
    ZIP 34223
  • Facility Phone: 941 681-3555
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ANTHONY DITOMASO
  • NPI Number: 1295860302
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1072319
LAB Type Ambulatory Surgery Center
Facility Name GOLD COAST SURGERY CENTER, LLC
Street 1750 ENGLEWOOD RD
City ENGLEWOOD
State FL
ZIP 34223
Phone 941 681-3555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Ambulatory Surgery Center
Lab Director ANTHONY DITOMASO

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