10D0974653 CLIA NUMBER - FLORIDA ENDOSCOPY & SURGERU CTR LLC

Laboratory Demographics

  • CLIA Code: 10D0974653
  • Facility Name: FLORIDA ENDOSCOPY & SURGERU CTR LLC
  • Facility Address: 12900 CORTEZ BLVD SUITE 103 1ST FLOOR
    BROOKSVILLE, FL
    ZIP 34613
  • Facility Phone: 352 596-1145
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: M ALLAM REHEEM
  • NPI Number: 1568437820
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0974653
LAB Type Ambulatory Surgery Center
Facility Name FLORIDA ENDOSCOPY & SURGERU CTR LLC
Street 12900 CORTEZ BLVD SUITE 103 1ST FLOOR
City BROOKSVILLE
State FL
ZIP 34613
Phone 352 596-1145
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2024
Certificate Expiration Date 6/12/2026
Facility Type Ambulatory Surgery Center
Lab Director M ALLAM REHEEM

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