10D1100727 CLIA NUMBER - MID FLORIDA ENDOSCOPY AND SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D1100727
  • Facility Name: MID FLORIDA ENDOSCOPY AND SURGERY CENTER LLC
  • Facility Address: 1950 SW 18TH COURT
    OCALA, FL
    ZIP 34471
  • Facility Phone: 352 789-6575
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: THIMMIAH KUMAR
  • NPI Number: 1770050452
  • Taxonomy: 367500000X - Nurse Anesthetist, Certified Registered

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CLIA Record

Field Name Field Value
CLIA Number 10D1100727
LAB Type Ambulatory Surgery Center
Facility Name MID FLORIDA ENDOSCOPY AND SURGERY CENTER LLC
Street 1950 SW 18TH COURT
City OCALA
State FL
ZIP 34471
Phone 352 789-6575
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2025
Certificate Expiration Date 6/10/2027
Facility Type Ambulatory Surgery Center
Lab Director THIMMIAH KUMAR

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