10D2174310 CLIA NUMBER - MINIMALLY INVASIVE SURGICENTER LLC

Laboratory Demographics

  • CLIA Code: 10D2174310
  • Facility Name: MINIMALLY INVASIVE SURGICENTER LLC
  • Facility Address: 6646 WEST ATLANTIC AVENUE SUITE 300
    DELRAY BEACH, FL
    ZIP 33446
  • Facility Phone: 561 774-2647
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: HIRTH E. MOSHE
  • NPI Number: 1316508252
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2174310
LAB Type Ambulatory Surgery Center
Facility Name MINIMALLY INVASIVE SURGICENTER LLC
Street 6646 WEST ATLANTIC AVENUE SUITE 300
City DELRAY BEACH
State FL
ZIP 33446
Phone 561 774-2647
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/29/2023
Certificate Expiration Date 10/28/2025
Facility Type Ambulatory Surgery Center
Lab Director HIRTH E. MOSHE

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