45D2081162 CLIA NUMBER - VIRTUOSO SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 45D2081162
  • Facility Name: VIRTUOSO SURGERY CENTER
  • Facility Address: 415 E SOUTHLAKE BLVD SUITE 202
    SOUTHLAKE, TX
    ZIP 76092
  • Facility Phone: 817 416-8080
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SACHA OBAID
  • NPI Number: 1376942987
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2081162
LAB Type Ambulatory Surgery Center
Facility Name VIRTUOSO SURGERY CENTER
Street 415 E SOUTHLAKE BLVD SUITE 202
City SOUTHLAKE
State TX
ZIP 76092
Phone 817 416-8080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2024
Certificate Expiration Date 7/20/2026
Facility Type Ambulatory Surgery Center
Lab Director SACHA OBAID

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