10D2074352 CLIA NUMBER - ELITE SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 10D2074352
  • Facility Name: ELITE SURGERY CENTER
  • Facility Address: 5301 4TH AVE CIR EAST
    BRADENTON, FL
    ZIP 34208
  • Facility Phone: 941 954-4500
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MELINDA L. LACERNA
  • NPI Number: 1962960146
  • Taxonomy: 208200000X - Plastic Surgery

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2074352
LAB Type Ambulatory Surgery Center
Facility Name ELITE SURGERY CENTER
Street 5301 4TH AVE CIR EAST
City BRADENTON
State FL
ZIP 34208
Phone 941 954-4500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2024
Certificate Expiration Date 10/5/2026
Facility Type Ambulatory Surgery Center
Lab Director MELINDA L. LACERNA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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