10D0699732 CLIA NUMBER - JOHN W COOKE DO

Laboratory Demographics

  • CLIA Code: 10D0699732
  • Facility Name: JOHN W COOKE DO
  • Facility Address: 633 N BAY STREET
    EUSTIS, FL
    ZIP 32727
  • Facility Phone: 352 357-3107
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN W. COOKE DO
  • NPI Number: 1528071958
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0699732
LAB Type Physician Office
Facility Name JOHN W COOKE DO
Street 633 N BAY STREET
City EUSTIS
State FL
ZIP 32727
Phone 352 357-3107
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2024
Certificate Expiration Date 4/15/2026
Facility Type Physician Office
Lab Director JOHN W. COOKE DO

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