10D2245217 CLIA NUMBER - LAKEVIEW SURGERY CENTER LLC

Laboratory Demographics

CLIA Number: 10D2245217

Facility Name: LAKEVIEW SURGERY CENTER LLC

Facility Address:
7448 DOCS GROVE CIRCLE SUITE 108
ORLANDO, FL
ZIP 32819
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Facility Phone Number: 321 228-6700

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1952071920

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2245217
LAB Type	Ambulatory Surgery Center
Facility Name	LAKEVIEW SURGERY CENTER LLC
Street	7448 DOCS GROVE CIRCLE SUITE 108
City	ORLANDO
State	FL
ZIP	32819
Phone	321 228-6700
CertificateType	4
CertificateEffectiveDate	12/9/2023
CertificateExpirationDate	12/8/2025
FacilityType	Waiver

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