10D2130732 CLIA NUMBER - DELRAY BEACH SURGICAL SUITES, LLC

Laboratory Demographics

  • CLIA Code: 10D2130732
  • Facility Name: DELRAY BEACH SURGICAL SUITES, LLC
  • Facility Address: 555 SE 5TH AVENUE
    DELRAY BEACH, FL
    ZIP 33483
  • Facility Phone: 561 319-0751
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ELVIS GRANDIC
  • NPI Number: 1184164816
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2130732
LAB Type Ambulatory Surgery Center
Facility Name DELRAY BEACH SURGICAL SUITES, LLC
Street 555 SE 5TH AVENUE
City DELRAY BEACH
State FL
ZIP 33483
Phone 561 319-0751
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2025
Certificate Expiration Date 5/15/2027
Facility Type Ambulatory Surgery Center
Lab Director ELVIS GRANDIC

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