10D0298968 CLIA NUMBER - SOUTH CAMPUS NURSING AND REHAB LLC DBA SOUTH CAMPUS CARE CENTER AND REHAB

Laboratory Demographics

  • CLIA Code: 10D0298968
  • Facility Name: SOUTH CAMPUS NURSING AND REHAB LLC DBA SOUTH CAMPUS CARE CENTER AND REHAB
  • Facility Address: 715 E DIXIE AVE
    LEESBURG, FL
    ZIP 34748
  • Facility Phone: 352 728-3161
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LOU KASS
  • NPI Number: 1629455779
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0298968
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SOUTH CAMPUS NURSING AND REHAB LLC DBA SOUTH CAMPUS CARE CENTER AND REHAB
Street 715 E DIXIE AVE
City LEESBURG
State FL
ZIP 34748
Phone 352 728-3161
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director LOU KASS

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