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10D0938418 CLIA NUMBER - LAKE CITY REGIONAL MEDICAL GROUP LLC DBA HCA FLORIDA LAKE CITY PRIMARY CARE

Laboratory Demographics

CLIA Number: 10D0938418

Facility Name: LAKE CITY REGIONAL MEDICAL GROUP LLC DBA HCA FLORIDA LAKE CITY PRIMARY CARE

Facility Address:
4225 NW AMERICAN LANE
LAKE CITY, FL
ZIP 32055
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Facility Phone Number: 386 758-6141

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1184910036

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 10D0938418
LAB Type Physician Office
Facility Name LAKE CITY REGIONAL MEDICAL GROUP LLC DBA HCA FLORIDA LAKE CITY PRIMARY CARE
Street 4225 NW AMERICAN LANE
City LAKE CITY
State FL
ZIP 32055
Phone 386 758-6141
CertificateType 4
CertificateEffectiveDate 1/6/2024
CertificateExpirationDate 1/5/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024