10D0877031 CLIA NUMBER - PHYSICIANS SURGICAL CARE CENTER

Laboratory Demographics

  • CLIA Code: 10D0877031
  • Facility Name: PHYSICIANS SURGICAL CARE CENTER
  • Facility Address: 1245 ORANGE AVENUE
    WINTER PARK, FL
    ZIP 32789
  • Facility Phone: 407 647-5100
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JEFFREY DEREN MD
  • NPI Number: 1417912353
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0877031
LAB Type Ambulatory Surgery Center
Facility Name PHYSICIANS SURGICAL CARE CENTER
Street 1245 ORANGE AVENUE
City WINTER PARK
State FL
ZIP 32789
Phone 407 647-5100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2025
Certificate Expiration Date 9/27/2027
Facility Type Ambulatory Surgery Center
Lab Director JEFFREY DEREN MD

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