CLIA lab

CLIA 10D2048782: Johnny Gurgen DO PA

Leesburg, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 10D2048782 belongs to Johnny Gurgen DO PA in Leesburg, FL.

Certificate of Compliance, effective January 2, 2025, expires January 1, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Compliance
Certificate effective
January 2, 2025
Certificate expiration
January 1, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 23, 2012
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
10D2048782
Lab name
Johnny Gurgen DO PA
Address
1340 Citizens Blvd, Leesburg, FL 34748
Phone
(352) 435-7695
Fax
(352) 633-7924

Annual test volume the lab reported

Other nonwaived tests
24,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Leesburg, FL

Related

Questions

What is the CLIA number for Johnny Gurgen DO PA in Leesburg?

10D2048782, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Johnny Gurgen DO PA hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 10D2048782 expire?

The CMS file lists January 1, 2027 as the certificate expiration date; the certificate took effect January 2, 2025.

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