10D1075559 CLIA NUMBER - HENDRY REGIONAL CONVENIENT CARE CENTER

Laboratory Demographics

  • CLIA Code: 10D1075559
  • Facility Name: HENDRY REGIONAL CONVENIENT CARE CENTER
  • Facility Address: 450 S MAIN ST STE 2
    LABELLE, FL
    ZIP 33935
  • Facility Phone: 863 675-2356
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: ORESTO QUINONES MORALES
  • NPI Number: 1588859623
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1075559
LAB Type Rural Health Clinic
Facility Name HENDRY REGIONAL CONVENIENT CARE CENTER
Street 450 S MAIN ST STE 2
City LABELLE
State FL
ZIP 33935
Phone 863 675-2356
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2023
Certificate Expiration Date 10/22/2025
Facility Type Rural Health Clinic
Lab Director ORESTO QUINONES MORALES

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