10D0920200 CLIA NUMBER - NORTH FLORIDA SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 10D0920200
  • Facility Name: NORTH FLORIDA SURGERY CENTER
  • Facility Address: 256 PROFESSIONAL GLEN
    LAKE CITY, FL
    ZIP 32025
  • Facility Phone: 386 758-8937
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MOHAMMAD FAISAL
  • NPI Number: 1467582437
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0920200
LAB Type Ambulatory Surgery Center
Facility Name NORTH FLORIDA SURGERY CENTER
Street 256 PROFESSIONAL GLEN
City LAKE CITY
State FL
ZIP 32025
Phone 386 758-8937
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/26/2024
Certificate Expiration Date 9/25/2026
Facility Type Ambulatory Surgery Center
Lab Director MOHAMMAD FAISAL

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