10D2046903 CLIA NUMBER - CORNERSTONE SURGICARE LLC

Laboratory Demographics

  • CLIA Code: 10D2046903
  • Facility Name: CORNERSTONE SURGICARE LLC
  • Facility Address: 511 HEWITT ST
    PENSACOLA, FL
    ZIP 32503
  • Facility Phone: 850 912-6505
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: BRIAN TAYLOR
  • NPI Number: 1033468442
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2046903
LAB Type Ambulatory Surgery Center
Facility Name CORNERSTONE SURGICARE LLC
Street 511 HEWITT ST
City PENSACOLA
State FL
ZIP 32503
Phone 850 912-6505
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2024
Certificate Expiration Date 9/12/2026
Facility Type Ambulatory Surgery Center
Lab Director BRIAN TAYLOR

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