10D0976727 CLIA NUMBER - HAILE MEDICAL GROUP PA

Laboratory Demographics

  • CLIA Code: 10D0976727
  • Facility Name: HAILE MEDICAL GROUP PA
  • Facility Address: 4750 SW 91 DRIVE SUITE A
    GAINESVILLE, FL
    ZIP 32608
  • Facility Phone: 352 367-9602
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KIMBERLY A. KAYE
  • NPI Number: 1851433197
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0976727
LAB Type Physician Office
Facility Name HAILE MEDICAL GROUP PA
Street 4750 SW 91 DRIVE SUITE A
City GAINESVILLE
State FL
ZIP 32608
Phone 352 367-9602
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2024
Certificate Expiration Date 8/13/2026
Facility Type Physician Office
Lab Director KIMBERLY A. KAYE

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This page was last updated on: 6/4/2025