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10D2149195 CLIA NUMBER - AMELIA ISLAND SURGERY CENTER, LLC

Laboratory Demographics

CLIA Number: 10D2149195

Facility Name: AMELIA ISLAND SURGERY CENTER, LLC

Facility Address:
2416 LYNNDALE ROAD
FERNANDINA BEACH, FL
ZIP 32034
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Facility Phone Number: 904 775-5280

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver
NPI Number: 1265473698

Taxonomy: 208200000X - Plastic Surgery
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

CLIA Record

Field Name Field Value
CLIA Number 10D2149195
LAB Type Ambulatory Surgery Center
Facility Name AMELIA ISLAND SURGERY CENTER, LLC
Street 2416 LYNNDALE ROAD
City FERNANDINA BEACH
State FL
ZIP 32034
Phone 904 775-5280
CertificateType 4
CertificateEffectiveDate 5/29/2022
CertificateExpirationDate 5/28/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024