10D2060166 CLIA NUMBER - TRICOUNTY PHYSICIANS LLC

Laboratory Demographics

  • CLIA Code: 10D2060166
  • Facility Name: TRICOUNTY PHYSICIANS LLC
  • Facility Address: 1507 BUENOS AIRES BLVD
    THE VILLAGES, FL
    ZIP 32159
  • Facility Phone: 352 561-6299
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: MARIVIC VILLA
  • NPI Number: 1619507431
  • Taxonomy: 207RP1001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2060166
LAB Type Ancillary Testing Site in Health Care Center
Facility Name TRICOUNTY PHYSICIANS LLC
Street 1507 BUENOS AIRES BLVD
City THE VILLAGES
State FL
ZIP 32159
Phone 352 561-6299
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2025
Certificate Expiration Date 6/6/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director MARIVIC VILLA

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