10D2128034 CLIA NUMBER - TRADITION SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D2128034
  • Facility Name: TRADITION SURGERY CENTER LLC
  • Facility Address: 10080 SW INNOVATION WAY STE 101
    PORT SAINT LUCIE, FL
    ZIP 34987
  • Facility Phone: 772 345-8700
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MATTHEW PEEBLES
  • NPI Number: 1801343496
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2128034
LAB Type Ambulatory Surgery Center
Facility Name TRADITION SURGERY CENTER LLC
Street 10080 SW INNOVATION WAY STE 101
City PORT SAINT LUCIE
State FL
ZIP 34987
Phone 772 345-8700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2025
Certificate Expiration Date 3/22/2027
Facility Type Ambulatory Surgery Center
Lab Director MATTHEW PEEBLES

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