45D1054629 CLIA NUMBER - CENTRAL PARK SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 45D1054629
  • Facility Name: CENTRAL PARK SURGERY CENTER, LLC
  • Facility Address: 411 CENTRAL PARK DRIVE
    ARLINGTON, TX
    ZIP 76014
  • Facility Phone: 817 784-8300
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: TYLER W. SCORESBY
  • NPI Number: 1528344173
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 45D1054629
LAB Type Ambulatory Surgery Center
Facility Name CENTRAL PARK SURGERY CENTER, LLC
Street 411 CENTRAL PARK DRIVE
City ARLINGTON
State TX
ZIP 76014
Phone 817 784-8300
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 TYLER W. SCORESBY

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