10D0878979 CLIA NUMBER - LAKELAND FACILITY OPERATIONS LLC

Laboratory Demographics

  • CLIA Code: 10D0878979
  • Facility Name: LAKELAND FACILITY OPERATIONS LLC
  • Facility Address: 5245 N SOCRUM LOOP ROAD
    LAKELAND, FL
    ZIP 33809
  • Facility Phone: 863 859-1446
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: EDELINE JOSEPH
  • NPI Number: 1104849173
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0878979
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LAKELAND FACILITY OPERATIONS LLC
Street 5245 N SOCRUM LOOP ROAD
City LAKELAND
State FL
ZIP 33809
Phone 863 859-1446
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2023
Certificate Expiration Date 11/8/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director EDELINE JOSEPH

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