10D2071596 CLIA NUMBER - LEGACY SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D2071596
  • Facility Name: LEGACY SURGERY CENTER LLC
  • Facility Address: 6918 GUNN HWY
    TAMPA, FL
    ZIP 33625
  • Facility Phone: 813 852-2500
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: KEVIN L. SCOTT
  • NPI Number: 1699256404
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2071596
LAB Type Ambulatory Surgery Center
Facility Name LEGACY SURGERY CENTER LLC
Street 6918 GUNN HWY
City TAMPA
State FL
ZIP 33625
Phone 813 852-2500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2024
Certificate Expiration Date 1/14/2026
Facility Type Ambulatory Surgery Center
Lab Director KEVIN L. SCOTT

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