10D1080848 CLIA NUMBER - PETER AMOS ANKOH MD PA

Laboratory Demographics

  • CLIA Code: 10D1080848
  • Facility Name: PETER AMOS ANKOH MD PA
  • Facility Address: 1107 W DIXIE AVE
    LEESBURG, FL
    ZIP 34748
  • Facility Phone: 352 728-2999
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PETER A. ANKOH
  • NPI Number: 1225154289
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1080848
LAB Type Physician Office
Facility Name PETER AMOS ANKOH MD PA
Street 1107 W DIXIE AVE
City LEESBURG
State FL
ZIP 34748
Phone 352 728-2999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2024
Certificate Expiration Date 3/3/2026
Facility Type Physician Office
Lab Director PETER A. ANKOH

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