10D1081050 CLIA NUMBER - GOOD SHEPHERD HOSPICE, INC

Laboratory Demographics

  • CLIA Code: 10D1081050
  • Facility Name: GOOD SHEPHERD HOSPICE, INC
  • Facility Address: 3470 LAKELAND HILLS BLVD
    LAKELAND, FL
    ZIP 33805
  • Facility Phone: 813 871-8075
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: STUART E. OWENS
  • NPI Number: 1235283151
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 10D1081050
LAB Type Hospice
Facility Name GOOD SHEPHERD HOSPICE, INC
Street 3470 LAKELAND HILLS BLVD
City LAKELAND
State FL
ZIP 33805
Phone 813 871-8075
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2024
Certificate Expiration Date 3/9/2026
Facility Type Hospice
Lab Director STUART E. OWENS

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