10D2126811 CLIA NUMBER - MID FLORIDA EYE CENTER

Laboratory Demographics

  • CLIA Code: 10D2126811
  • Facility Name: MID FLORIDA EYE CENTER
  • Facility Address: 5743 WILLIAMSBURG LANE
    WILDWOOD, FL
    ZIP 34785
  • Facility Phone: 352 735-2020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEITH CHARLES
  • NPI Number: 1710980883
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 10D2126811
LAB Type Physician Office
Facility Name MID FLORIDA EYE CENTER
Street 5743 WILLIAMSBURG LANE
City WILDWOOD
State FL
ZIP 34785
Phone 352 735-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2025
Certificate Expiration Date 3/5/2027
Facility Type Physician Office
Lab Director KEITH CHARLES

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