10D2291531 CLIA NUMBER - THE GASTROENTEROLOGY GROUP PA

Laboratory Demographics

  • CLIA Code: 10D2291531
  • Facility Name: THE GASTROENTEROLOGY GROUP PA
  • Facility Address: 205 LORAINE DR.
    ALTAMONTE SPRINGS, FL
    ZIP 32714
  • Facility Phone: 407 261-0000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DOUGLAS J. SPRUNG
  • NPI Number: 1730213414
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 10D2291531
LAB Type Physician Office
Facility Name THE GASTROENTEROLOGY GROUP PA
Street 205 LORAINE DR.
City ALTAMONTE SPRINGS
State FL
ZIP 32714
Phone 407 261-0000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2023
Certificate Expiration Date 10/10/2025
Facility Type Physician Office
Lab Director DOUGLAS J. SPRUNG

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