10D2019664 CLIA NUMBER - MIDTOWN SURGICAL CENTER

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Laboratory Demographics

CLIA Number: 10D2019664

Facility Name: MIDTOWN SURGICAL CENTER

Facility Address:
4600 LINTON BLVD STE 100
DELRAY BEACH, FL
ZIP 33445
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Facility Phone Number: 561 581-0027

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1750685111

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2019664
LAB Type	Ambulatory Surgery Center
Facility Name	MIDTOWN SURGICAL CENTER
Street	4600 LINTON BLVD STE 100
City	DELRAY BEACH
State	FL
ZIP	33445
Phone	561 581-0027
CertificateType	4
CertificateEffectiveDate	2/3/2023
CertificateExpirationDate	2/2/2025
FacilityType	Waiver

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