10D2319542 CLIA NUMBER - AQUAVISTA SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D2319542
  • Facility Name: AQUAVISTA SURGERY CENTER LLC
  • Facility Address: 4770 BISCAYNE BLVD SUITE 1000
    MIAMI, FL
    ZIP 33137
  • Facility Phone: 305 204-9598
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SIDHBH GALLAGHER
  • NPI Number: 1114809837
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2319542
LAB Type Physician Office
Facility Name AQUAVISTA SURGERY CENTER LLC
Street 4770 BISCAYNE BLVD SUITE 1000
City MIAMI
State FL
ZIP 33137
Phone 305 204-9598
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2025
Certificate Expiration Date 3/2/2027
Facility Type Physician Office
Lab Director SIDHBH GALLAGHER

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