10D1043470 CLIA NUMBER - LAKELAND REGIONAL HEALTH

Laboratory Demographics

  • CLIA Code: 10D1043470
  • Facility Name: LAKELAND REGIONAL HEALTH
  • Facility Address: 455 EMERALD AVE
    LAKE WALES, FL
    ZIP 33853
  • Facility Phone: 863 687-1436
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRIAN J. YODER
  • NPI Number: 1407045487
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1043470
LAB Type Physician Office
Facility Name LAKELAND REGIONAL HEALTH
Street 455 EMERALD AVE
City LAKE WALES
State FL
ZIP 33853
Phone 863 687-1436
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/26/2025
Certificate Expiration Date 7/25/2027
Facility Type Physician Office
Lab Director BRIAN J. YODER

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