10D2048169 CLIA NUMBER - OCALA EYE PA

Laboratory Demographics

  • CLIA Code: 10D2048169
  • Facility Name: OCALA EYE PA
  • Facility Address: 4414 SW COLLEGE RD #1462
    OCALA, FL
    ZIP 34474
  • Facility Phone: 352 622-2720
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PETER J. POLACK
  • NPI Number: 1538239124
  • Taxonomy: 367500000X - Nurse Anesthetist, Certified Registered

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CLIA Record

Field Name Field Value
CLIA Number 10D2048169
LAB Type Physician Office
Facility Name OCALA EYE PA
Street 4414 SW COLLEGE RD #1462
City OCALA
State FL
ZIP 34474
Phone 352 622-2720
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2024
Certificate Expiration Date 10/10/2026
Facility Type Physician Office
Lab Director PETER J. POLACK

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