10D2242207 CLIA NUMBER - ORTHOPAEDIC DEVELOPMENT PARTNERS LLC ORTHOPAEDIC MEDICAL GROUP SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 10D2242207
  • Facility Name: ORTHOPAEDIC DEVELOPMENT PARTNERS LLC ORTHOPAEDIC MEDICAL GROUP SURGERY CENTER
  • Facility Address: 13837 CIRCA CROSSING DRIVE SUITE 100
    LITHIA, FL
    ZIP 33547
  • Facility Phone: 813 550-2287
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SCOTT E. GOLDSMITH
  • NPI Number: 1306435904
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2242207
LAB Type Ambulatory Surgery Center
Facility Name ORTHOPAEDIC DEVELOPMENT PARTNERS LLC ORTHOPAEDIC MEDICAL GROUP SURGERY CENTER
Street 13837 CIRCA CROSSING DRIVE SUITE 100
City LITHIA
State FL
ZIP 33547
Phone 813 550-2287
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2023
Certificate Expiration Date 11/4/2025
Facility Type Ambulatory Surgery Center
Lab Director SCOTT E. GOLDSMITH

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