10D1087056 CLIA NUMBER - CONSTANCE B PURSER MD PL

Laboratory Demographics

  • CLIA Code: 10D1087056
  • Facility Name: CONSTANCE B PURSER MD PL
  • Facility Address: 8936 77TH TER E STE 102
    LAKEWOOD RANCH, FL
    ZIP 34202
  • Facility Phone: 941 361-1177
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CONSTANCE B. PURSER
  • NPI Number: 1922048719
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1087056
LAB Type Physician Office
Facility Name CONSTANCE B PURSER MD PL
Street 8936 77TH TER E STE 102
City LAKEWOOD RANCH
State FL
ZIP 34202
Phone 941 361-1177
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2024
Certificate Expiration Date 7/24/2026
Facility Type Physician Office
Lab Director CONSTANCE B. PURSER

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