15D2002948 CLIA NUMBER - METRO SPECIALTY SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 15D2002948
  • Facility Name: METRO SPECIALTY SURGERY CENTER LLC
  • Facility Address: 200 MISSOURI AVE BLDG 18 STE A
    JEFFERSONVILLE, IN
    ZIP 47130
  • Facility Phone: 812 920-0055
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MATTHEW R. PRICE
  • NPI Number: 1902134372
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2002948
LAB Type Ambulatory Surgery Center
Facility Name METRO SPECIALTY SURGERY CENTER LLC
Street 200 MISSOURI AVE BLDG 18 STE A
City JEFFERSONVILLE
State IN
ZIP 47130
Phone 812 920-0055
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2024
Certificate Expiration Date 1/28/2026
Facility Type Ambulatory Surgery Center
Lab Director MATTHEW R. PRICE

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