10D0689666 CLIA NUMBER - LHCG CLV LLC DBA MEDERI CARETENDERS

Laboratory Demographics

  • CLIA Code: 10D0689666
  • Facility Name: LHCG CLV LLC DBA MEDERI CARETENDERS
  • Facility Address: 1319 SHELFER STREET
    LEESBURG, FL
    ZIP 34748
  • Facility Phone: 352 323-5570
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: CARON DRAKE
  • NPI Number: 1649804220
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 10D0689666
LAB Type Home Health Agency
Facility Name LHCG CLV LLC DBA MEDERI CARETENDERS
Street 1319 SHELFER STREET
City LEESBURG
State FL
ZIP 34748
Phone 352 323-5570
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 Home Health Agency
Lab Director CARON DRAKE

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