10D0645240 CLIA NUMBER - SOUTH LAKE HOSPITAL CLINICAL LAB

Laboratory Demographics

CLIA Number: 10D0645240

Facility Name: SOUTH LAKE HOSPITAL CLINICAL LAB

Facility Address:
1900 DON WICKHAM DRIVE
CLERMONT, FL
ZIP 34711
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Facility Phone Number: 352 241-7150

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1144414038

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name	Field Value
CLIA Number	10D0645240
LAB Type	Hospital
Facility Name	SOUTH LAKE HOSPITAL CLINICAL LAB
Street	1900 DON WICKHAM DRIVE
City	CLERMONT
State	FL
ZIP	34711
Phone	352 241-7150
CertificateType	1
CertificateEffectiveDate	1/3/2023
CertificateExpirationDate	1/2/2025
FacilityType	Accreditation

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This page was last updated on: 4/23/2024