10D2010617 CLIA NUMBER - CITRA FAMILY HEALTH LLC

Laboratory Demographics

  • CLIA Code: 10D2010617
  • Facility Name: CITRA FAMILY HEALTH LLC
  • Facility Address: 17805 N US HWY 301
    CITRA, FL
    ZIP 32113
  • Facility Phone: 352 649-3113
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: ALFRED GOODMAN
  • NPI Number: 1881800936
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2010617
LAB Type Rural Health Clinic
Facility Name CITRA FAMILY HEALTH LLC
Street 17805 N US HWY 301
City CITRA
State FL
ZIP 32113
Phone 352 649-3113
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2024
Certificate Expiration Date 7/29/2026
Facility Type Rural Health Clinic
Lab Director ALFRED GOODMAN

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