10D1001578 CLIA NUMBER - LECANTO VA CBOC

Laboratory Demographics

  • CLIA Code: 10D1001578
  • Facility Name: LECANTO VA CBOC
  • Facility Address: 2804 W MARC KNIGHTON COURT
    LECANTO, FL
    ZIP 34461
  • Facility Phone: 352 746-8000
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: STEPHEN W. MASTORIDES
  • NPI Number: 1669031126
  • Taxonomy: 261QV0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1001578
LAB Type Community Clinic
Facility Name LECANTO VA CBOC
Street 2804 W MARC KNIGHTON COURT
City LECANTO
State FL
ZIP 34461
Phone 352 746-8000
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 7/15/2002
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director STEPHEN W. MASTORIDES

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