10D1084295 CLIA NUMBER - SPRINGHILL IMAGING DBA SUMMIT IMAGING

Laboratory Demographics

  • CLIA Code: 10D1084295
  • Facility Name: SPRINGHILL IMAGING DBA SUMMIT IMAGING
  • Facility Address: 12037 CORTEZ BLVD
    BROOKSVILLE, FL
    ZIP 34613
  • Facility Phone: 352 597-9008
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: AGNES AUGELLO
  • NPI Number: 1801892252
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1084295
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SPRINGHILL IMAGING DBA SUMMIT IMAGING
Street 12037 CORTEZ BLVD
City BROOKSVILLE
State FL
ZIP 34613
Phone 352 597-9008
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2024
Certificate Expiration Date 5/19/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director AGNES AUGELLO

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