10D2005571 CLIA NUMBER - SEASCAPE SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 10D2005571
  • Facility Name: SEASCAPE SURGERY CENTER
  • Facility Address: 5379 PRIMROSE LAKE CIR
    TAMPA, FL
    ZIP 33647
  • Facility Phone: 813 977-2040
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: PAUL H. BOWMAN
  • NPI Number: 1487824173
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2005571
LAB Type Ambulatory Surgery Center
Facility Name SEASCAPE SURGERY CENTER
Street 5379 PRIMROSE LAKE CIR
City TAMPA
State FL
ZIP 33647
Phone 813 977-2040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2024
Certificate Expiration Date 3/30/2026
Facility Type Ambulatory Surgery Center
Lab Director PAUL H. BOWMAN

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