CLIA lab
CLIA 10D2086122: Johnny Gurgen DO PA
Lady Lake, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2086122 belongs to Johnny Gurgen DO PA in Lady Lake, FL.
Certificate of Compliance, effective January 29, 2025, expires January 28, 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 29, 2025
- Certificate expiration
- January 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 28, 2014
- 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
- 10D2086122
- Lab name
- Johnny Gurgen DO PA
- Address
- 920 Rolling Acres Rd Suite 204, Lady Lake, FL 32159
- Phone
- (352) 435-7695
- Fax
- (352) 435-7453
Annual test volume the lab reported
- Other nonwaived tests
- 3,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Lady Lake, FL
- Advanced Gastroenterology Surgery and AssocCertificate of Waiver, Physician office10D2023656
- Advanced Surgical and Medical Eye Center PACertificate of Waiver, Other practitioner10D2109607
- Adventhealth Medical Group Multispecialty at theCertificate of Waiver, Physician office10D2094984
- Aqua Dermatology of Florida, PA DBA WatersCertificate of Compliance, Physician office10D2141726
- Cardiac and Vascular Consultants IncCertificate of Waiver, Physician office10D2025484
- Cardiothoracic & Vascular Surgical Associates, PACertificate of Waiver, Physician office10D2107210
- Care Access Research LLCCertificate of Waiver, Other10D2259894
- Centerwell Senior Primary Care (FL) IncCertificate of Waiver, Physician office10D1035796
- Central Florida Medical CareCertificate of Waiver, Physician office10D1043786
- Central Florida Pain ManagementCertificate of Waiver, Physician office10D2003673
Related
Questions
What is the CLIA number for Johnny Gurgen DO PA in Lady Lake?
10D2086122, 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 10D2086122 expire?
The CMS file lists January 28, 2027 as the certificate expiration date; the certificate took effect January 29, 2025.