10D2022853 CLIA NUMBER - SANTA FE SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D2022853
  • Facility Name: SANTA FE SURGERY CENTER LLC
  • Facility Address: 8564 COUNTY RD 466 STE 101
    LADY LAKE, FL
    ZIP 32162
  • Facility Phone: 352 561-4950
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SCOT C. HOLMAN
  • NPI Number: 1912286105
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 10D2022853
LAB Type Ambulatory Surgery Center
Facility Name SANTA FE SURGERY CENTER LLC
Street 8564 COUNTY RD 466 STE 101
City LADY LAKE
State FL
ZIP 32162
Phone 352 561-4950
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2025
Certificate Expiration Date 4/10/2027
Facility Type Ambulatory Surgery Center
Lab Director SCOT C. HOLMAN

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