10D0989360 CLIA NUMBER - JOANNE M KELLER ARNP WOMENS HEALTH & WELLNESS PRACTICE PA

Laboratory Demographics

  • CLIA Code: 10D0989360
  • Facility Name: JOANNE M KELLER ARNP WOMENS HEALTH & WELLNESS PRACTICE PA
  • Facility Address: 3643 LAKE CENTER DRIVE
    MOUNT DORA, FL
    ZIP 32757
  • Facility Phone: 352 385-2631
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JOANNE M. KELLER
  • NPI Number: 1306800131
  • Taxonomy: 363LW0102X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 10D0989360
LAB Type Practitioner Other
Facility Name JOANNE M KELLER ARNP WOMENS HEALTH & WELLNESS PRACTICE PA
Street 3643 LAKE CENTER DRIVE
City MOUNT DORA
State FL
ZIP 32757
Phone 352 385-2631
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2025
Certificate Expiration Date 7/24/2027
Facility Type Practitioner Other
Lab Director JOANNE M. KELLER

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