10D2197700 CLIA NUMBER - CENTRAL FLORIDA PREMIER EYE ASSOCIATES PA DBA LAKE EYE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 10D2197700
  • Facility Name: CENTRAL FLORIDA PREMIER EYE ASSOCIATES PA DBA LAKE EYE ASSOCIATES
  • Facility Address: 5431 SR 44 - STE 1 - SUMTER SUMMIT
    WILDWOOD, FL
    ZIP 34785
  • Facility Phone: 352 632-2020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SCOTT R. WEHRLY
  • NPI Number: 1477183903
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 10D2197700
LAB Type Physician Office
Facility Name CENTRAL FLORIDA PREMIER EYE ASSOCIATES PA DBA LAKE EYE ASSOCIATES
Street 5431 SR 44 - STE 1 - SUMTER SUMMIT
City WILDWOOD
State FL
ZIP 34785
Phone 352 632-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2024
Certificate Expiration Date 10/26/2026
Facility Type Physician Office
Lab Director SCOTT R. WEHRLY

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