10D0995494 CLIA NUMBER - LAKESIDE ENDOCRINE ASSOCIATES, INC

Laboratory Demographics

  • CLIA Code: 10D0995494
  • Facility Name: LAKESIDE ENDOCRINE ASSOCIATES, INC
  • Facility Address: 1667 N CLYDE MORRIS BLVD STE 2
    DAYTONA BEACH, FL
    ZIP 32117
  • Facility Phone: 386 274-1414
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FRANK R. KOHLER
  • NPI Number: 1871041681
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0995494
LAB Type Physician Office
Facility Name LAKESIDE ENDOCRINE ASSOCIATES, INC
Street 1667 N CLYDE MORRIS BLVD STE 2
City DAYTONA BEACH
State FL
ZIP 32117
Phone 386 274-1414
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2023
Certificate Expiration Date 11/1/2025
Facility Type Physician Office
Lab Director FRANK R. KOHLER

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