10D2044748 CLIA NUMBER - SURGERY CENTRE OF SW FLORIDA, LLC

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Laboratory Demographics

CLIA Number: 10D2044748

Facility Name: SURGERY CENTRE OF SW FLORIDA, LLC

Facility Address:
665 DEL PRADO BLVD, S
CAPE CORAL, FL
ZIP 33990
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Facility Phone Number: 239 424-6000

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1881969269

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2044748
LAB Type	Ambulatory Surgery Center
Facility Name	SURGERY CENTRE OF SW FLORIDA, LLC
Street	665 DEL PRADO BLVD, S
City	CAPE CORAL
State	FL
ZIP	33990
Phone	239 424-6000
CertificateType	4
CertificateEffectiveDate	7/31/2022
CertificateExpirationDate	7/30/2024
FacilityType	Waiver

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