10D1077366 CLIA NUMBER - BLUE SPRINGS SURGERY CENTER DBA ADVENTHEALTH SURGERY CENTER BLUE SPRINGS

Laboratory Demographics

  • CLIA Code: 10D1077366
  • Facility Name: BLUE SPRINGS SURGERY CENTER DBA ADVENTHEALTH SURGERY CENTER BLUE SPRINGS
  • Facility Address: 1053 MEDICAL CENTER DR
    ORANGE CITY, FL
    ZIP 32763
  • Facility Phone: 386 878-8080
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER NILES
  • NPI Number: 1558580910
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D1077366
LAB Type Ambulatory Surgery Center
Facility Name BLUE SPRINGS SURGERY CENTER DBA ADVENTHEALTH SURGERY CENTER BLUE SPRINGS
Street 1053 MEDICAL CENTER DR
City ORANGE CITY
State FL
ZIP 32763
Phone 386 878-8080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2023
Certificate Expiration Date 12/6/2025
Facility Type Ambulatory Surgery Center
Lab Director CHRISTOPHER NILES

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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