10D2095070 CLIA NUMBER - PUTNAM SURGICAL GROUP LLC

Laboratory Demographics

  • CLIA Code: 10D2095070
  • Facility Name: PUTNAM SURGICAL GROUP LLC
  • Facility Address: 414 ZEAGLER DR
    PALATKA, FL
    ZIP 32177
  • Facility Phone: 386 328-4123
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER SALZMAN
  • NPI Number: 1457517203
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 10D2095070
LAB Type Physician Office
Facility Name PUTNAM SURGICAL GROUP LLC
Street 414 ZEAGLER DR
City PALATKA
State FL
ZIP 32177
Phone 386 328-4123
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2025
Certificate Expiration Date 4/28/2027
Facility Type Physician Office
Lab Director CHRISTOPHER SALZMAN

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