10D2003027 CLIA NUMBER - VANTAGE UROLOGIC INSTITUTE

Laboratory Demographics

  • CLIA Code: 10D2003027
  • Facility Name: VANTAGE UROLOGIC INSTITUTE
  • Facility Address: 9401 SW HIGHWAY 200, STE 502
    OCALA, FL
    ZIP 34481
  • Facility Phone: 325 291-0041
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DONALD R. LOCKE
  • NPI Number: 1649509878
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 10D2003027
LAB Type Physician Office
Facility Name VANTAGE UROLOGIC INSTITUTE
Street 9401 SW HIGHWAY 200, STE 502
City OCALA
State FL
ZIP 34481
Phone 325 291-0041
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2024
Certificate Expiration Date 1/31/2026
Facility Type Physician Office
Lab Director DONALD R. LOCKE

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