10D0266982 CLIA NUMBER - BRENT HAYDEN MD PA

Laboratory Demographics

  • CLIA Code: 10D0266982
  • Facility Name: BRENT HAYDEN MD PA
  • Facility Address: 733 SW SR 47
    LAKE CITY, FL
    ZIP 32025
  • Facility Phone: 386 755-0645
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRENT HAYDEN
  • NPI Number: 1326373606
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 10D0266982
LAB Type Physician Office
Facility Name BRENT HAYDEN MD PA
Street 733 SW SR 47
City LAKE CITY
State FL
ZIP 32025
Phone 386 755-0645
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director BRENT HAYDEN

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