45D0973606 CLIA NUMBER - VICTORIA AMBULATORY SURGERY CENTER DBA THE SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 45D0973606
  • Facility Name: VICTORIA AMBULATORY SURGERY CENTER DBA THE SURGERY CENTER
  • Facility Address: 6404 NURSERY DRIVE, SUITE 300
    VICTORIA, TX
    ZIP 77904
  • Facility Phone: 361 570-8311
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DONNA WAGNER
  • NPI Number: 1003927799
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 45D0973606
LAB Type Ambulatory Surgery Center
Facility Name VICTORIA AMBULATORY SURGERY CENTER DBA THE SURGERY CENTER
Street 6404 NURSERY DRIVE, SUITE 300
City VICTORIA
State TX
ZIP 77904
Phone 361 570-8311
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2024
Certificate Expiration Date 5/24/2026
Facility Type Ambulatory Surgery Center
Lab Director DONNA WAGNER

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