10D2168679 CLIA NUMBER - GRACE SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D2168679
  • Facility Name: GRACE SURGERY CENTER LLC
  • Facility Address: 2301 SE 3RD AVE BLDG #200
    OCALA, FL
    ZIP 34471
  • Facility Phone: 352 351-0029
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: PAUL D. JO
  • NPI Number: 1396214938
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2168679
LAB Type Ambulatory Surgery Center
Facility Name GRACE SURGERY CENTER LLC
Street 2301 SE 3RD AVE BLDG #200
City OCALA
State FL
ZIP 34471
Phone 352 351-0029
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2025
Certificate Expiration Date 7/7/2027
Facility Type Ambulatory Surgery Center
Lab Director PAUL D. JO

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