10D2276448 CLIA NUMBER - PREMIER SURGICAL SUITES LLC

Laboratory Demographics

  • CLIA Code: 10D2276448
  • Facility Name: PREMIER SURGICAL SUITES LLC
  • Facility Address: 2111 DREW STREET SUITE 100
    CLEARWATER, FL
    ZIP 33765
  • Facility Phone: 727 261-1745
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: RODERICK M. URBANIAK
  • NPI Number: 1851006316
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2276448
LAB Type Ambulatory Surgery Center
Facility Name PREMIER SURGICAL SUITES LLC
Street 2111 DREW STREET SUITE 100
City CLEARWATER
State FL
ZIP 33765
Phone 727 261-1745
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2025
Certificate Expiration Date 2/7/2027
Facility Type Ambulatory Surgery Center
Lab Director RODERICK M. URBANIAK

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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