10D1041480 CLIA NUMBER - FLORIDA MUSCULOSKELETAL INSTITUTE

Laboratory Demographics

  • CLIA Code: 10D1041480
  • Facility Name: FLORIDA MUSCULOSKELETAL INSTITUTE
  • Facility Address: 910 OLD CAMP RD BLDG 110 STE 112
    THE VILLAGES, FL
    ZIP 32162
  • Facility Phone: 352 728-3000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CARL O. OLLIVIERRE MD
  • NPI Number: 1124037783
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 10D1041480
LAB Type Physician Office
Facility Name FLORIDA MUSCULOSKELETAL INSTITUTE
Street 910 OLD CAMP RD BLDG 110 STE 112
City THE VILLAGES
State FL
ZIP 32162
Phone 352 728-3000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2025
Certificate Expiration Date 6/5/2027
Facility Type Physician Office
Lab Director CARL O. OLLIVIERRE MD

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