10D2242694 CLIA NUMBER - SURGCENTER OF RIVERVIEW LLC DBA WEST FLORIDA SURGICAL SUITES

Laboratory Demographics

  • CLIA Code: 10D2242694
  • Facility Name: SURGCENTER OF RIVERVIEW LLC DBA WEST FLORIDA SURGICAL SUITES
  • Facility Address: 1715 N WEST SHORE BLVD STE 190
    TAMPA, FL
    ZIP 33607
  • Facility Phone: 404 625-3208
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: NOMEN AZEEM
  • NPI Number: 1023787488
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2242694
LAB Type Ambulatory Surgery Center
Facility Name SURGCENTER OF RIVERVIEW LLC DBA WEST FLORIDA SURGICAL SUITES
Street 1715 N WEST SHORE BLVD STE 190
City TAMPA
State FL
ZIP 33607
Phone 404 625-3208
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2023
Certificate Expiration Date 11/9/2025
Facility Type Ambulatory Surgery Center
Lab Director NOMEN AZEEM

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This page was last updated on: 3/20/2025