10D1088411 CLIA NUMBER - TGH SURGERY CENTER

Laboratory Demographics

CLIA Number: 10D1088411

Facility Name: TGH SURGERY CENTER

Facility Address:
13330 USF LAUREL DR MDC 52
TAMPA, FL
ZIP 33612
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Facility Phone Number: 813 394-1102

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1679602544

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D1088411
LAB Type	Ambulatory Surgery Center
Facility Name	TGH SURGERY CENTER
Street	13330 USF LAUREL DR MDC 52
City	TAMPA
State	FL
ZIP	33612
Phone	813 394-1102
CertificateType	4
CertificateEffectiveDate	8/25/2022
CertificateExpirationDate	8/24/2024
FacilityType	Waiver

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