10D2281835 CLIA NUMBER - MAITLAND SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D2281835
  • Facility Name: MAITLAND SURGERY CENTER LLC
  • Facility Address: 1101 N MAITLAND AVE
    MAITLAND, FL
    ZIP 32751
  • Facility Phone: 407 830-6868
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: WILJON W. BELTRE
  • NPI Number: 1023075181
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 10D2281835
LAB Type Ambulatory Surgery Center
Facility Name MAITLAND SURGERY CENTER LLC
Street 1101 N MAITLAND AVE
City MAITLAND
State FL
ZIP 32751
Phone 407 830-6868
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type Ambulatory Surgery Center
Lab Director WILJON W. BELTRE

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