10D0292731 CLIA NUMBER - CONCENTRA-LAKELAND

Laboratory Demographics

  • CLIA Code: 10D0292731
  • Facility Name: CONCENTRA-LAKELAND
  • Facility Address: 5040 US HWY 98 N
    LAKELAND, FL
    ZIP 33809
  • Facility Phone: 863 859-3511
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DENISE AGATEP
  • NPI Number: 1033696927
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0292731
LAB Type Physician Office
Facility Name CONCENTRA-LAKELAND
Street 5040 US HWY 98 N
City LAKELAND
State FL
ZIP 33809
Phone 863 859-3511
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DENISE AGATEP

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This page was last updated on: 3/20/2025