10D2157070 CLIA NUMBER - ORLANDO SURGERY CENTER LLC

Laboratory Demographics

CLIA Number: 10D2157070

Facility Name: ORLANDO SURGERY CENTER LLC

Facility Address:
3435 PINEHURST AVE
ORLANDO, FL
ZIP 32804
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Facility Phone Number: 321 842-8199

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1528553831

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2157070
LAB Type	Ambulatory Surgery Center
Facility Name	ORLANDO SURGERY CENTER LLC
Street	3435 PINEHURST AVE
City	ORLANDO
State	FL
ZIP	32804
Phone	321 842-8199
CertificateType	4
CertificateEffectiveDate	10/30/2022
CertificateExpirationDate	10/29/2024
FacilityType	Waiver

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