10D0957573 CLIA NUMBER - TOTAL EYE CARE SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 10D0957573
  • Facility Name: TOTAL EYE CARE SURGERY CENTER
  • Facility Address: 640 S LAKE ST STE 101
    LEESBURG, FL
    ZIP 34748
  • Facility Phone: 352 728-1952
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MICHAEL D. PENNACHIO
  • NPI Number: 1598791105
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0957573
LAB Type Ambulatory Surgery Center
Facility Name TOTAL EYE CARE SURGERY CENTER
Street 640 S LAKE ST STE 101
City LEESBURG
State FL
ZIP 34748
Phone 352 728-1952
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2025
Certificate Expiration Date 2/23/2027
Facility Type Ambulatory Surgery Center
Lab Director MICHAEL D. PENNACHIO

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