10D2158833 CLIA NUMBER - CLERMONT RADIOLOGY - KINGS RIDGE

Laboratory Demographics

  • CLIA Code: 10D2158833
  • Facility Name: CLERMONT RADIOLOGY - KINGS RIDGE
  • Facility Address: 3725 SOUTH HIGHWAY 27 SUITE 104
    CLERMONT, FL
    ZIP 34711
  • Facility Phone: 352 241-6100
  • Facility Type: Other - IDTF
  • Facility Type: Waiver
  • Lab Director: MICHAEL D. SCHROER
  • NPI Number: 1003328642
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2158833
LAB Type Other - IDTF
Facility Name CLERMONT RADIOLOGY - KINGS RIDGE
Street 3725 SOUTH HIGHWAY 27 SUITE 104
City CLERMONT
State FL
ZIP 34711
Phone 352 241-6100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2024
Certificate Expiration Date 12/6/2026
Facility Type Other - IDTF
Lab Director MICHAEL D. SCHROER

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This page was last updated on: 6/4/2025