10D2275805 CLIA NUMBER - TIMBER RIDGE IMAGING CENTER HEATHBROOK PAVILION

Laboratory Demographics

  • CLIA Code: 10D2275805
  • Facility Name: TIMBER RIDGE IMAGING CENTER HEATHBROOK PAVILION
  • Facility Address: 3949 SW COLLEGE RD SUITE 150
    OCALA, FL
    ZIP 34474
  • Facility Phone: 352 671-4300
  • Facility Type: Other - OUTPATIENT IMAGING
  • Facility Type: Waiver
  • Lab Director: MALCOLM II WILLIAMSON
  • NPI Number: 1669460473
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 10D2275805
LAB Type Other - OUTPATIENT IMAGING
Facility Name TIMBER RIDGE IMAGING CENTER HEATHBROOK PAVILION
Street 3949 SW COLLEGE RD SUITE 150
City OCALA
State FL
ZIP 34474
Phone 352 671-4300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2025
Certificate Expiration Date 1/29/2027
Facility Type Other - OUTPATIENT IMAGING
Lab Director MALCOLM II WILLIAMSON

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