10D2229279 CLIA NUMBER - SEBRING SQUARE MEDICAL GROUP LLC

Laboratory Demographics

  • CLIA Code: 10D2229279
  • Facility Name: SEBRING SQUARE MEDICAL GROUP LLC
  • Facility Address: 210 SEBRING SQUARE
    SEBRING, FL
    ZIP 33870
  • Facility Phone: 863 658-5066
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MONIQUE SMITH
  • NPI Number: 1578176210
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2229279
LAB Type Physician Office
Facility Name SEBRING SQUARE MEDICAL GROUP LLC
Street 210 SEBRING SQUARE
City SEBRING
State FL
ZIP 33870
Phone 863 658-5066
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2025
Certificate Expiration Date 7/8/2027
Facility Type Physician Office
Lab Director MONIQUE SMITH

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