10D2254136 CLIA NUMBER - CELEBRATION SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D2254136
  • Facility Name: CELEBRATION SURGERY CENTER LLC
  • Facility Address: 2960 MALLORY CIRCLE
    CELEBRATION, FL
    ZIP 34747
  • Facility Phone: 407 966-1777
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Accreditation
  • Lab Director: JULIE RUSSO
  • NPI Number: 1417619388
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2254136
LAB Type Ambulatory Surgery Center
Facility Name CELEBRATION SURGERY CENTER LLC
Street 2960 MALLORY CIRCLE
City CELEBRATION
State FL
ZIP 34747
Phone 407 966-1777
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 4/24/2025
Certificate Expiration Date 4/23/2027
Facility Type Ambulatory Surgery Center
Lab Director JULIE RUSSO

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