10D0907064 CLIA NUMBER - LAKE SURGERY & ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 10D0907064
  • Facility Name: LAKE SURGERY & ENDOSCOPY CENTER
  • Facility Address: 8110 CR 44 LEG A
    LEESBURG, FL
    ZIP 34788
  • Facility Phone: 352 323-1995
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: LILY TRAN
  • NPI Number: 1235165531
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0907064
LAB Type Ambulatory Surgery Center
Facility Name LAKE SURGERY & ENDOSCOPY CENTER
Street 8110 CR 44 LEG A
City LEESBURG
State FL
ZIP 34788
Phone 352 323-1995
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2025
Certificate Expiration Date 10/6/2027
Facility Type Ambulatory Surgery Center
Lab Director LILY TRAN

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