10D2253397 CLIA NUMBER - HEATHROW SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 10D2253397
  • Facility Name: HEATHROW SURGERY CENTER, LLC
  • Facility Address: 942 INTERNATIONAL PARKWAY
    LAKE MARY, FL
    ZIP 32746
  • Facility Phone: 407 794-9717
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: KEVIN M. BARBER
  • NPI Number: 1316603699
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2253397
LAB Type Ambulatory Surgery Center
Facility Name HEATHROW SURGERY CENTER, LLC
Street 942 INTERNATIONAL PARKWAY
City LAKE MARY
State FL
ZIP 32746
Phone 407 794-9717
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2024
Certificate Expiration Date 2/20/2026
Facility Type Ambulatory Surgery Center
Lab Director KEVIN M. BARBER

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