10D2055750 CLIA NUMBER - SURGERY CENTER OF NORTH FLORIDA LLC

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Laboratory Demographics

CLIA Number: 10D2055750

Facility Name: SURGERY CENTER OF NORTH FLORIDA LLC

Facility Address:
6520 NW 9TH BLVD
GAINESVILLE, FL
ZIP 32605
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Facility Phone Number: 352 745-7202

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1154366060

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2055750
LAB Type	Ambulatory Surgery Center
Facility Name	SURGERY CENTER OF NORTH FLORIDA LLC
Street	6520 NW 9TH BLVD
City	GAINESVILLE
State	FL
ZIP	32605
Phone	352 745-7202
CertificateType	4
CertificateEffectiveDate	3/18/2023
CertificateExpirationDate	3/17/2025
FacilityType	Waiver

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