10D2157070 CLIA NUMBER - ORLANDO SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D2157070
  • Facility Name: ORLANDO SURGERY CENTER LLC
  • Facility Address: 3435 PINEHURST AVE
    ORLANDO, FL
    ZIP 32804
  • Facility Phone: 321 842-8199
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: IBRAHIM KHALIL
  • NPI Number: 1528553831
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2157070
LAB Type Ambulatory Surgery Center
Facility Name ORLANDO SURGERY CENTER LLC
Street 3435 PINEHURST AVE
City ORLANDO
State FL
ZIP 32804
Phone 321 842-8199
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2024
Certificate Expiration Date 10/29/2026
Facility Type Ambulatory Surgery Center
Lab Director IBRAHIM KHALIL

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