10D2007355 CLIA NUMBER - CHILDRENS SURGERY CENTER LLC DBA ADVENTHEALTH SURGERY CENTER MAITLAND

Laboratory Demographics

  • CLIA Code: 10D2007355
  • Facility Name: CHILDRENS SURGERY CENTER LLC DBA ADVENTHEALTH SURGERY CENTER MAITLAND
  • Facility Address: 790 CONCOURSE PKWY S STE 100
    MAITLAND, FL
    ZIP 32751
  • Facility Phone: 407 748-4616
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JAMES KOSKO
  • NPI Number: 1730401571
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2007355
LAB Type Ambulatory Surgery Center
Facility Name CHILDRENS SURGERY CENTER LLC DBA ADVENTHEALTH SURGERY CENTER MAITLAND
Street 790 CONCOURSE PKWY S STE 100
City MAITLAND
State FL
ZIP 32751
Phone 407 748-4616
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2024
Certificate Expiration Date 5/13/2026
Facility Type Ambulatory Surgery Center
Lab Director JAMES KOSKO

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