10D2046981 CLIA NUMBER - TAVARES SURGERY LLC

Laboratory Demographics

  • CLIA Code: 10D2046981
  • Facility Name: TAVARES SURGERY LLC
  • Facility Address: 1878 MAYO DR
    TAVARES, FL
    ZIP 32778
  • Facility Phone: 352 636-3652
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SOUNDARAPANDIAN BASKAR
  • NPI Number: 1558618116
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2046981
LAB Type Ambulatory Surgery Center
Facility Name TAVARES SURGERY LLC
Street 1878 MAYO DR
City TAVARES
State FL
ZIP 32778
Phone 352 636-3652
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2024
Certificate Expiration Date 9/13/2026
Facility Type Ambulatory Surgery Center
Lab Director SOUNDARAPANDIAN BASKAR

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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