10D0959460 CLIA NUMBER - CENTRAL PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 10D0959460
  • Facility Name: CENTRAL PRIMARY CARE
  • Facility Address: 4925 OLD HWY 37
    LAKELAND, FL
    ZIP 33813
  • Facility Phone: 863 519-9898
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: F GEORGE G. MEHANNA MD
  • NPI Number: 1902292352
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0959460
LAB Type Physician Office
Facility Name CENTRAL PRIMARY CARE
Street 4925 OLD HWY 37
City LAKELAND
State FL
ZIP 33813
Phone 863 519-9898
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2025
Certificate Expiration Date 4/12/2027
Facility Type Physician Office
Lab Director F GEORGE G. MEHANNA MD

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