10D2171822 CLIA NUMBER - BAPTIST HEALTH SURGERY CENTER AT BETHESDA WEST

Laboratory Demographics

CLIA Number: 10D2171822

Facility Name: BAPTIST HEALTH SURGERY CENTER AT BETHESDA WEST

Facility Address:
9868 S STATE ROAD 7 STE 100
BOYNTON BEACH, FL
ZIP 33472
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Facility Phone Number: 561 544-8210

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1053971457

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2171822
LAB Type	Ambulatory Surgery Center
Facility Name	BAPTIST HEALTH SURGERY CENTER AT BETHESDA WEST
Street	9868 S STATE ROAD 7 STE 100
City	BOYNTON BEACH
State	FL
ZIP	33472
Phone	561 544-8210
CertificateType	4
CertificateEffectiveDate	9/10/2023
CertificateExpirationDate	9/9/2025
FacilityType	Waiver

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