10D2199178 CLIA NUMBER - MOHAWK SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D2199178
  • Facility Name: MOHAWK SURGERY CENTER LLC
  • Facility Address: 201 MOHAWK ROAD SUTE 200
    MINNEOLA, FL
    ZIP 34715
  • Facility Phone: 833 958-2208
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: RAJAB K. ABUKHADRAH
  • NPI Number: 1689133290
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2199178
LAB Type Ambulatory Surgery Center
Facility Name MOHAWK SURGERY CENTER LLC
Street 201 MOHAWK ROAD SUTE 200
City MINNEOLA
State FL
ZIP 34715
Phone 833 958-2208
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2024
Certificate Expiration Date 11/5/2026
Facility Type Ambulatory Surgery Center
Lab Director RAJAB K. ABUKHADRAH

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