10D2174473 CLIA NUMBER - SOUTH FLORIDA ENT ASSOCIATES INC DBA THE BARRANCO CLINIC

Laboratory Demographics

  • CLIA Code: 10D2174473
  • Facility Name: SOUTH FLORIDA ENT ASSOCIATES INC DBA THE BARRANCO CLINIC
  • Facility Address: 1920 DON WICKHAM DR #215
    CLERMONT, FL
    ZIP 34711
  • Facility Phone: 352 394-8808
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT M. MERRITT
  • NPI Number: 1306597257
  • Taxonomy: 207Y00000X - Otolaryngology

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CLIA Record

Field Name Field Value
CLIA Number 10D2174473
LAB Type Physician Office
Facility Name SOUTH FLORIDA ENT ASSOCIATES INC DBA THE BARRANCO CLINIC
Street 1920 DON WICKHAM DR #215
City CLERMONT
State FL
ZIP 34711
Phone 352 394-8808
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director ROBERT M. MERRITT

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