10D1086295 CLIA NUMBER - SURGERY CENTER AT DORAL

Laboratory Demographics

CLIA Number: 10D1086295

Facility Name: SURGERY CENTER AT DORAL

Facility Address:
3650 NW 82ND AVE STE 101
MIAMI, FL
ZIP 33166
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Facility Phone Number: 305 341-7280

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1386821817

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D1086295
LAB Type	Ambulatory Surgery Center
Facility Name	SURGERY CENTER AT DORAL
Street	3650 NW 82ND AVE STE 101
City	MIAMI
State	FL
ZIP	33166
Phone	305 341-7280
CertificateType	4
CertificateEffectiveDate	7/9/2022
CertificateExpirationDate	7/8/2024
FacilityType	Waiver

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