10D2042773 CLIA NUMBER - ADVANCED SURGERY CENTER OF ORLANDO LLC

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Laboratory Demographics

CLIA Number: 10D2042773

Facility Name: ADVANCED SURGERY CENTER OF ORLANDO LLC

Facility Address:
6900 TURKEY LAKE RD STE 2-5
ORLANDO, FL
ZIP 32819
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Facility Phone Number: 407 810-7968

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1326309394

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2042773
LAB Type	Ambulatory Surgery Center
Facility Name	ADVANCED SURGERY CENTER OF ORLANDO LLC
Street	6900 TURKEY LAKE RD STE 2-5
City	ORLANDO
State	FL
ZIP	32819
Phone	407 810-7968
CertificateType	4
CertificateEffectiveDate	6/20/2022
CertificateExpirationDate	6/19/2024
FacilityType	Waiver

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