10D0934525 CLIA NUMBER - HERNANDO ENDOSCOPY & SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 10D0934525
  • Facility Name: HERNANDO ENDOSCOPY & SURGERY CENTER
  • Facility Address: 12180 CORTEZ BLVD
    BROOKSVILLE, FL
    ZIP 34613
  • Facility Phone: 352 596-4999
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JENNIFER TOPPING
  • NPI Number: 1609969302
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0934525
LAB Type Ambulatory Surgery Center
Facility Name HERNANDO ENDOSCOPY & SURGERY CENTER
Street 12180 CORTEZ BLVD
City BROOKSVILLE
State FL
ZIP 34613
Phone 352 596-4999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2023
Certificate Expiration Date 10/6/2025
Facility Type Ambulatory Surgery Center
Lab Director JENNIFER TOPPING

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