10D0689507 CLIA NUMBER - AEGIS MEDICAL GROUP,LLC

Laboratory Demographics

  • CLIA Code: 10D0689507
  • Facility Name: AEGIS MEDICAL GROUP,LLC
  • Facility Address: 4685 N HWY 19A
    MOUNT DORA, FL
    ZIP 32757
  • Facility Phone: 352 307-9925
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DONALD EAGLE
  • NPI Number: 1841484979
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D0689507
LAB Type Physician Office
Facility Name AEGIS MEDICAL GROUP,LLC
Street 4685 N HWY 19A
City MOUNT DORA
State FL
ZIP 32757
Phone 352 307-9925
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2023
Certificate Expiration Date 8/22/2025
Facility Type Physician Office
Lab Director DONALD EAGLE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025