10D2067130 CLIA NUMBER - MIAMI SUNSET SURGERY CENTER LLC

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Laboratory Demographics

CLIA Number: 10D2067130

Facility Name: MIAMI SUNSET SURGERY CENTER LLC

Facility Address:
7190 SW 87TH AVE STE 403
MIAMI, FL
ZIP 33173
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Facility Phone Number: 305 596-2228

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1811319692

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2067130
LAB Type	Physician Office
Facility Name	MIAMI SUNSET SURGERY CENTER LLC
Street	7190 SW 87TH AVE STE 403
City	MIAMI
State	FL
ZIP	33173
Phone	305 596-2228
CertificateType	4
CertificateEffectiveDate	10/9/2023
CertificateExpirationDate	10/8/2025
FacilityType	Waiver

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