10D1065718 CLIA NUMBER - WILLIAM ACEVEDO MD PA

Laboratory Demographics

  • CLIA Code: 10D1065718
  • Facility Name: WILLIAM ACEVEDO MD PA
  • Facility Address: 726 W JEFFERSON ST
    BROOKSVILLE, FL
    ZIP 34601
  • Facility Phone: 352 754-1253
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM ACEVEDO
  • NPI Number: 1528014313
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D1065718
LAB Type Physician Office
Facility Name WILLIAM ACEVEDO MD PA
Street 726 W JEFFERSON ST
City BROOKSVILLE
State FL
ZIP 34601
Phone 352 754-1253
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2025
Certificate Expiration Date 3/6/2027
Facility Type Physician Office
Lab Director WILLIAM ACEVEDO

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