10D2054351 CLIA NUMBER - SURGCENTER NORTHEAST LLC DBA FLORIDA ORTHOPAEDIC INSTITUTE SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 10D2054351
  • Facility Name: SURGCENTER NORTHEAST LLC DBA FLORIDA ORTHOPAEDIC INSTITUTE SURGERY CENTER
  • Facility Address: 5901 FOWLER AVENUE SUITE 200, STE C
    TEMPLE TERRACE, FL
    ZIP 33617
  • Facility Phone: 813 972-4905
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SETH I. GASSER
  • NPI Number: 1649515354
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2054351
LAB Type Ambulatory Surgery Center
Facility Name SURGCENTER NORTHEAST LLC DBA FLORIDA ORTHOPAEDIC INSTITUTE SURGERY CENTER
Street 5901 FOWLER AVENUE SUITE 200, STE C
City TEMPLE TERRACE
State FL
ZIP 33617
Phone 813 972-4905
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/20/2025
Certificate Expiration Date 2/19/2027
Facility Type Ambulatory Surgery Center
Lab Director SETH I. GASSER

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