10D2300468 CLIA NUMBER - METRO ALLIANCE SURGERY CENTER LLC

Laboratory Demographics

CLIA Number: 10D2300468

Facility Name: METRO ALLIANCE SURGERY CENTER LLC

Facility Address:
6201 ALLIANCE LANE
FORT MYERS, FL
ZIP 33912
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Facility Phone Number: 239 329-8407

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1538940556

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2300468
LAB Type	Ambulatory Surgery Center
Facility Name	METRO ALLIANCE SURGERY CENTER LLC
Street	6201 ALLIANCE LANE
City	FORT MYERS
State	FL
ZIP	33912
Phone	239 329-8407
CertificateType	4
CertificateEffectiveDate	3/12/2024
CertificateExpirationDate	3/11/2026
FacilityType	Waiver

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