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10D2011335 CLIA NUMBER - COLONIAL OUTPATIENT SURGERY CENTER LLC

Laboratory Demographics

CLIA Number: 10D2011335

Facility Name: COLONIAL OUTPATIENT SURGERY CENTER LLC

Facility Address:
4571 COLONIAL BLVD #200
FORT MYERS, FL
ZIP 33966
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Facility Phone Number: 239 333-2560

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver
NPI Number: 1669642641

Taxonomy: 122300000X - Dentist
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

CLIA Record

Field Name Field Value
CLIA Number 10D2011335
LAB Type Ambulatory Surgery Center
Facility Name COLONIAL OUTPATIENT SURGERY CENTER LLC
Street 4571 COLONIAL BLVD #200
City FORT MYERS
State FL
ZIP 33966
Phone 239 333-2560
CertificateType 4
CertificateEffectiveDate 8/16/2022
CertificateExpirationDate 8/15/2024
FacilityType Waiver

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