10D2033086 CLIA NUMBER - BLUE WATER SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 10D2033086
  • Facility Name: BLUE WATER SURGERY CENTER
  • Facility Address: 6830 S US HWY 1
    PORT SAINT LUCIE, FL
    ZIP 34952
  • Facility Phone: 772 873-6700
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MICHAEL BLANC
  • NPI Number: 1972163533
  • Taxonomy: 207L00000X - Anesthesiology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2033086
LAB Type Ambulatory Surgery Center
Facility Name BLUE WATER SURGERY CENTER
Street 6830 S US HWY 1
City PORT SAINT LUCIE
State FL
ZIP 34952
Phone 772 873-6700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/22/2023
Certificate Expiration Date 11/21/2025
Facility Type Ambulatory Surgery Center
Lab Director MICHAEL BLANC

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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