10D0879997 CLIA NUMBER - LAKE VIEW COURT

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Field Name	Field Value
CLIA Number	10D0879997
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	LAKE VIEW COURT
Street	920 W KENNEDY BLVD
City	ORLANDO
State	FL
ZIP	32810
Phone	407 660-8600
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	12/7/2023
Certificate Expiration Date	12/6/2025
Facility Type	Intermediate Care Facility for Mentally Retarded
Lab Director	SHARITA DORSEY

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