10D1022825 CLIA NUMBER - LAKE MARY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 10D1022825
  • Facility Name: LAKE MARY SURGERY CENTER
  • Facility Address: 460 ST CHARLES CT
    LAKE MARY, FL
    ZIP 32746
  • Facility Phone: 407 585-0260
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MEAGAN PRZYCHOCKI
  • NPI Number: 1174530752
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1022825
LAB Type Ambulatory Surgery Center
Facility Name LAKE MARY SURGERY CENTER
Street 460 ST CHARLES CT
City LAKE MARY
State FL
ZIP 32746
Phone 407 585-0260
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2024
Certificate Expiration Date 3/2/2026
Facility Type Ambulatory Surgery Center
Lab Director MEAGAN PRZYCHOCKI

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