10D2271484 CLIA NUMBER - CYPRESS AMBULATORY SURGERY CENTER LLC

Laboratory Demographics

CLIA Number: 10D2271484

Facility Name: CYPRESS AMBULATORY SURGERY CENTER LLC

Facility Address:
835 CURRENCY CIRCLE
LAKE MARY, FL
ZIP 32746
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Facility Phone Number: 407 544-6643

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1003553645

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2271484
LAB Type	Ambulatory Surgery Center
Facility Name	CYPRESS AMBULATORY SURGERY CENTER LLC
Street	835 CURRENCY CIRCLE
City	LAKE MARY
State	FL
ZIP	32746
Phone	407 544-6643
CertificateType	4
CertificateEffectiveDate	11/2/2022
CertificateExpirationDate	11/1/2024
FacilityType	Waiver

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