10D2018949 CLIA NUMBER - SAFETY HARBOR ASC CENTER LLC

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Laboratory Demographics

CLIA Number: 10D2018949

Facility Name: SAFETY HARBOR ASC CENTER LLC

Facility Address:
3280 N MCMULLEN BOOTH RD STE 110
CLEARWATER, FL
ZIP 33761
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Facility Phone Number: 727 787-3000

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1942715826

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2018949
LAB Type	Ambulatory Surgery Center
Facility Name	SAFETY HARBOR ASC CENTER LLC
Street	3280 N MCMULLEN BOOTH RD STE 110
City	CLEARWATER
State	FL
ZIP	33761
Phone	727 787-3000
CertificateType	4
CertificateEffectiveDate	1/19/2023
CertificateExpirationDate	1/18/2025
FacilityType	Waiver

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