10D2023656 CLIA NUMBER - ADVANCED GASTROENTEROLOGY SURGERY AND ASSOC

Laboratory Demographics

  • CLIA Code: 10D2023656
  • Facility Name: ADVANCED GASTROENTEROLOGY SURGERY AND ASSOC
  • Facility Address: 13838 US HWY 27
    LADY LAKE, FL
    ZIP 32159
  • Facility Phone: 352 753-1612
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LILY TRAN
  • NPI Number: 1649483785
  • Taxonomy: 225700000X - Massage Therapist

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CLIA Record

Field Name Field Value
CLIA Number 10D2023656
LAB Type Physician Office
Facility Name ADVANCED GASTROENTEROLOGY SURGERY AND ASSOC
Street 13838 US HWY 27
City LADY LAKE
State FL
ZIP 32159
Phone 352 753-1612
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2025
Certificate Expiration Date 4/27/2027
Facility Type Physician Office
Lab Director LILY TRAN

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