10D1087058 CLIA NUMBER - CORTEZ FOOT SURGERY CENTER

Laboratory Demographics

CLIA Number: 10D1087058

Facility Name: CORTEZ FOOT SURGERY CENTER

Facility Address:
1800 CORTEZ RD W STE B
BRADENTON, FL
ZIP 34207
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Facility Phone Number: 941 758-4608

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1225077241

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D1087058
LAB Type	Ambulatory Surgery Center
Facility Name	CORTEZ FOOT SURGERY CENTER
Street	1800 CORTEZ RD W STE B
City	BRADENTON
State	FL
ZIP	34207
Phone	941 758-4608
CertificateType	4
CertificateEffectiveDate	7/25/2022
CertificateExpirationDate	7/24/2024
FacilityType	Waiver

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