10D0959004 CLIA NUMBER - HENDRY REGIONAL CORPORATE HEALTH

Laboratory Demographics

  • CLIA Code: 10D0959004
  • Facility Name: HENDRY REGIONAL CORPORATE HEALTH
  • Facility Address: 203 S GLORIA ST
    CLEWISTON, FL
    ZIP 33440
  • Facility Phone: 863 983-1123
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT DUNN
  • NPI Number: 1376567719
  • Taxonomy: 275N00000X - Medicare Defined Swing Bed Unit

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CLIA Record

Field Name Field Value
CLIA Number 10D0959004
LAB Type Physician Office
Facility Name HENDRY REGIONAL CORPORATE HEALTH
Street 203 S GLORIA ST
City CLEWISTON
State FL
ZIP 33440
Phone 863 983-1123
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2025
Certificate Expiration Date 3/30/2027
Facility Type Physician Office
Lab Director ROBERT DUNN

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