10D2007255 CLIA NUMBER - PREMIER SURGICAL CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D2007255
  • Facility Name: PREMIER SURGICAL CENTER LLC
  • Facility Address: 2130 VINDALE RD
    TAVARES, FL
    ZIP 32778
  • Facility Phone: 352 383-7777
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: LALBAHADUR NAGABHAIRU
  • NPI Number: 1467783688
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2007255
LAB Type Ambulatory Surgery Center
Facility Name PREMIER SURGICAL CENTER LLC
Street 2130 VINDALE RD
City TAVARES
State FL
ZIP 32778
Phone 352 383-7777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2024
Certificate Expiration Date 5/11/2026
Facility Type Ambulatory Surgery Center
Lab Director LALBAHADUR NAGABHAIRU

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