10D0672644 CLIA NUMBER - IRA FIALKO DO

Laboratory Demographics

  • CLIA Code: 10D0672644
  • Facility Name: IRA FIALKO DO
  • Facility Address: 6171 W GULF TO LAKE HWY
    CRYSTAL RIVER, FL
    ZIP 34429
  • Facility Phone: 352 563-0220
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IRA FIALKO
  • NPI Number: 1174571277
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D0672644
LAB Type Physician Office
Facility Name IRA FIALKO DO
Street 6171 W GULF TO LAKE HWY
City CRYSTAL RIVER
State FL
ZIP 34429
Phone 352 563-0220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2024
Certificate Expiration Date 4/25/2026
Facility Type Physician Office
Lab Director IRA FIALKO

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