10D2095542 CLIA NUMBER - SELECT PHYSICIANS SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 10D2095542
  • Facility Name: SELECT PHYSICIANS SURGERY CENTER
  • Facility Address: 3440 W DR MARTIN LUTHER KING BLVD STE 103
    TAMPA, FL
    ZIP 33607
  • Facility Phone: 813 321-1618
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: BRETT SCOTCH
  • NPI Number: 1326435926
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2095542
LAB Type Ambulatory Surgery Center
Facility Name SELECT PHYSICIANS SURGERY CENTER
Street 3440 W DR MARTIN LUTHER KING BLVD STE 103
City TAMPA
State FL
ZIP 33607
Phone 813 321-1618
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/7/2025
Certificate Expiration Date 5/6/2027
Facility Type Ambulatory Surgery Center
Lab Director BRETT SCOTCH

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