10D1091763 CLIA NUMBER - CITRUS PARK SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D1091763
  • Facility Name: CITRUS PARK SURGERY CENTER LLC
  • Facility Address: 6322 GUNN HWY STE B
    TAMPA, FL
    ZIP 33625
  • Facility Phone: 813 864-3998
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ROBERT C. NUCCI MD
  • NPI Number: 1346490315
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1091763
LAB Type Ambulatory Surgery Center
Facility Name CITRUS PARK SURGERY CENTER LLC
Street 6322 GUNN HWY STE B
City TAMPA
State FL
ZIP 33625
Phone 813 864-3998
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2024
Certificate Expiration Date 11/9/2026
Facility Type Ambulatory Surgery Center
Lab Director ROBERT C. NUCCI MD

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