10D0963118 CLIA NUMBER - LAKESIDE SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 10D0963118
  • Facility Name: LAKESIDE SURGERY CENTER
  • Facility Address: 1825 NORTH MILLS AVE
    ORLANDO, FL
    ZIP 32803
  • Facility Phone: 407 206-2375
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JOHN T. LEHR
  • NPI Number: 1477507168
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0963118
LAB Type Ambulatory Surgery Center
Facility Name LAKESIDE SURGERY CENTER
Street 1825 NORTH MILLS AVE
City ORLANDO
State FL
ZIP 32803
Phone 407 206-2375
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2025
Certificate Expiration Date 7/22/2027
Facility Type Ambulatory Surgery Center
Lab Director JOHN T. LEHR

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