10D2263543 CLIA NUMBER - ST PETERSBURG OUTPATIENT SURGERY CENTER, LLC DBA ST PETERSBURG EYE SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 10D2263543
  • Facility Name: ST PETERSBURG OUTPATIENT SURGERY CENTER, LLC DBA ST PETERSBURG EYE SURGERY CENTER
  • Facility Address: 6133 CENTRAL AVENUE
    SAINT PETERSBURG, FL
    ZIP 33710
  • Facility Phone: 727 502-6402
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: AMY HOWARD
  • NPI Number: 1033243274
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 10D2263543
LAB Type Ambulatory Surgery Center
Facility Name ST PETERSBURG OUTPATIENT SURGERY CENTER, LLC DBA ST PETERSBURG EYE SURGERY CENTER
Street 6133 CENTRAL AVENUE
City SAINT PETERSBURG
State FL
ZIP 33710
Phone 727 502-6402
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2024
Certificate Expiration Date 6/28/2026
Facility Type Ambulatory Surgery Center
Lab Director AMY HOWARD

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