10D2032202 CLIA NUMBER - PST FLORIDA 2009 LLC

Laboratory Demographics

  • CLIA Code: 10D2032202
  • Facility Name: PST FLORIDA 2009 LLC
  • Facility Address: 3300 SW 34TH AVE STE 116
    OCALA, FL
    ZIP 34474
  • Facility Phone: 352 789-6616
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL GRISCHKAN
  • NPI Number: 1134423072
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2032202
LAB Type Physician Office
Facility Name PST FLORIDA 2009 LLC
Street 3300 SW 34TH AVE STE 116
City OCALA
State FL
ZIP 34474
Phone 352 789-6616
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2023
Certificate Expiration Date 11/6/2025
Facility Type Physician Office
Lab Director MICHAEL GRISCHKAN

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