10D2114872 CLIA NUMBER - PHYSICIAN PARTNERS SPECIALTY SERVICES LLC

Laboratory Demographics

  • CLIA Code: 10D2114872
  • Facility Name: PHYSICIAN PARTNERS SPECIALTY SERVICES LLC
  • Facility Address: 1714 SW 17TH ST STE 400
    OCALA, FL
    ZIP 34471
  • Facility Phone: 352 274-9455
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LISA YOUNG
  • NPI Number: 1356688899
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2114872
LAB Type Physician Office
Facility Name PHYSICIAN PARTNERS SPECIALTY SERVICES LLC
Street 1714 SW 17TH ST STE 400
City OCALA
State FL
ZIP 34471
Phone 352 274-9455
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2024
Certificate Expiration Date 6/21/2026
Facility Type Physician Office
Lab Director LISA YOUNG

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