10D1026024 CLIA NUMBER - MILLENIA SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D1026024
  • Facility Name: MILLENIA SURGERY CENTER LLC
  • Facility Address: 4901 S VINELAND RD STE 150
    ORLANDO, FL
    ZIP 32811
  • Facility Phone: 407 370-3272
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SRI POTHAMSETTY
  • NPI Number: 1366898819
  • Taxonomy: 367500000X - Nurse Anesthetist, Certified Registered

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CLIA Record

Field Name Field Value
CLIA Number 10D1026024
LAB Type Ambulatory Surgery Center
Facility Name MILLENIA SURGERY CENTER LLC
Street 4901 S VINELAND RD STE 150
City ORLANDO
State FL
ZIP 32811
Phone 407 370-3272
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2025
Certificate Expiration Date 2/1/2027
Facility Type Ambulatory Surgery Center
Lab Director SRI POTHAMSETTY

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