10D1067282 CLIA NUMBER - LAKEVIEW TERRACE HOME HEALTH SERVICES LLC

Laboratory Demographics

  • CLIA Code: 10D1067282
  • Facility Name: LAKEVIEW TERRACE HOME HEALTH SERVICES LLC
  • Facility Address: 110 LODGE TER DR
    ALTOONA, FL
    ZIP 32702
  • Facility Phone: 352 669-2133
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ELIZABETH DEWILD
  • NPI Number: 1528748134
  • Taxonomy: 251E00000X - Home Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D1067282
LAB Type Home Health Agency
Facility Name LAKEVIEW TERRACE HOME HEALTH SERVICES LLC
Street 110 LODGE TER DR
City ALTOONA
State FL
ZIP 32702
Phone 352 669-2133
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2025
Certificate Expiration Date 4/15/2027
Facility Type Home Health Agency
Lab Director ELIZABETH DEWILD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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