10D0920088 CLIA NUMBER - SUWANNEE MEDICAL PERSONNEL

Laboratory Demographics

  • CLIA Code: 10D0920088
  • Facility Name: SUWANNEE MEDICAL PERSONNEL
  • Facility Address: 1852 SW BARNETT WAY STE 103
    LAKE CITY, FL
    ZIP 32025
  • Facility Phone: 386 755-1544
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: LORI CARLTON
  • NPI Number: 1821063306
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 10D0920088
LAB Type Home Health Agency
Facility Name SUWANNEE MEDICAL PERSONNEL
Street 1852 SW BARNETT WAY STE 103
City LAKE CITY
State FL
ZIP 32025
Phone 386 755-1544
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2024
Certificate Expiration Date 9/23/2026
Facility Type Home Health Agency
Lab Director LORI CARLTON

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