10D2303622 CLIA NUMBER - WATSON CLINIC ASC LLC

Laboratory Demographics

  • CLIA Code: 10D2303622
  • Facility Name: WATSON CLINIC ASC LLC
  • Facility Address: 1315 N FLORIDA AVE
    LAKELAND, FL
    ZIP 33805
  • Facility Phone: 863 680-7475
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. PRANAY PATEL
  • NPI Number: 1427151588
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2303622
LAB Type Ambulatory Surgery Center
Facility Name WATSON CLINIC ASC LLC
Street 1315 N FLORIDA AVE
City LAKELAND
State FL
ZIP 33805
Phone 863 680-7475
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2024
Certificate Expiration Date 4/28/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. PRANAY PATEL

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