10D2120542 CLIA NUMBER - FLORIDA PAIN AND REHABILITATION CENTER

Laboratory Demographics

  • CLIA Code: 10D2120542
  • Facility Name: FLORIDA PAIN AND REHABILITATION CENTER
  • Facility Address: 918 ROLLING ACRES RD STE 102
    LADY LAKE, FL
    ZIP 32159
  • Facility Phone: 352 751-6582
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: YILI ZHOU
  • NPI Number: 1154549905
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2120542
LAB Type Physician Office
Facility Name FLORIDA PAIN AND REHABILITATION CENTER
Street 918 ROLLING ACRES RD STE 102
City LADY LAKE
State FL
ZIP 32159
Phone 352 751-6582
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2024
Certificate Expiration Date 10/18/2026
Facility Type Physician Office
Lab Director YILI ZHOU

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This page was last updated on: 3/20/2025