10D2315173 CLIA NUMBER - ADVANCED SURGERY CENTER OF TALLAHASSEE LLC

Laboratory Demographics

  • CLIA Code: 10D2315173
  • Facility Name: ADVANCED SURGERY CENTER OF TALLAHASSEE LLC
  • Facility Address: 2535 CAPITAL MEDICAL BLVD STE 400
    TALLAHASSEE, FL
    ZIP 32308
  • Facility Phone: 850 597-0070
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. AMANDA MATTHEWS
  • NPI Number: 1205658754
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2315173
LAB Type Ambulatory Surgery Center
Facility Name ADVANCED SURGERY CENTER OF TALLAHASSEE LLC
Street 2535 CAPITAL MEDICAL BLVD STE 400
City TALLAHASSEE
State FL
ZIP 32308
Phone 850 597-0070
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/9/2024
Certificate Expiration Date 12/8/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. AMANDA MATTHEWS

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This page was last updated on: 6/4/2025