45D0664371 CLIA NUMBER - SHORELINE SURGERY CENTER LLP D/B/A SURGICARE OF CORPUS CHRISTI

Laboratory Demographics

  • CLIA Code: 45D0664371
  • Facility Name: SHORELINE SURGERY CENTER LLP D/B/A SURGICARE OF CORPUS CHRISTI
  • Facility Address: 718 ELIZABETH STREET
    CORPUS CHRISTI, TX
    ZIP 78404
  • Facility Phone: 361 882-3204
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: BRUCE A. GIBSON
  • NPI Number: 1538198767
  • Taxonomy: 213E00000X - Podiatrist

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CLIA Record

Field Name Field Value
CLIA Number 45D0664371
LAB Type Ambulatory Surgery Center
Facility Name SHORELINE SURGERY CENTER LLP D/B/A SURGICARE OF CORPUS CHRISTI
Street 718 ELIZABETH STREET
City CORPUS CHRISTI
State TX
ZIP 78404
Phone 361 882-3204
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Ambulatory Surgery Center
Lab Director BRUCE A. GIBSON

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