10D2283164 CLIA NUMBER - LAKE SUMTER UROLOGY LLC

Laboratory Demographics

  • CLIA Code: 10D2283164
  • Facility Name: LAKE SUMTER UROLOGY LLC
  • Facility Address: 808 HIGHWAY 466
    LADY LAKE, FL
    ZIP 32159
  • Facility Phone: 352 775-6899
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: VENKATA K. MARELLA
  • NPI Number: 1285385401
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 10D2283164
LAB Type Physician Office
Facility Name LAKE SUMTER UROLOGY LLC
Street 808 HIGHWAY 466
City LADY LAKE
State FL
ZIP 32159
Phone 352 775-6899
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 6/2/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director VENKATA K. MARELLA

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