10D0693972 CLIA NUMBER - LOWELL F CLARK MD PA

Laboratory Demographics

  • CLIA Code: 10D0693972
  • Facility Name: LOWELL F CLARK MD PA
  • Facility Address: 212 S FLORIDA ST
    BUSHNELL, FL
    ZIP 33513
  • Facility Phone: 352 793-2441
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. LOWELL F. CLARK
  • NPI Number: 1285308403
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0693972
LAB Type Physician Office
Facility Name LOWELL F CLARK MD PA
Street 212 S FLORIDA ST
City BUSHNELL
State FL
ZIP 33513
Phone 352 793-2441
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/19/2025
Certificate Expiration Date 5/18/2027
Facility Type Physician Office
Lab Director DR. LOWELL F. CLARK

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