10D2154912 CLIA NUMBER - CENTER FOR ADVANCED SURGICAL SPECIALISTS

Laboratory Demographics

CLIA Number: 10D2154912

Facility Name: CENTER FOR ADVANCED SURGICAL SPECIALISTS

Facility Address:
11911 N DALE MABRY HWY
TAMPA, FL
ZIP 33618
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Facility Phone Number: 813 265-5300

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1538664644

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2154912
LAB Type	Ambulatory Surgery Center
Facility Name	CENTER FOR ADVANCED SURGICAL SPECIALISTS
Street	11911 N DALE MABRY HWY
City	TAMPA
State	FL
ZIP	33618
Phone	813 265-5300
CertificateType	4
CertificateEffectiveDate	9/20/2022
CertificateExpirationDate	9/19/2024
FacilityType	Waiver

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