10D2016279 CLIA NUMBER - CLARK CLINIC INC

Laboratory Demographics

  • CLIA Code: 10D2016279
  • Facility Name: CLARK CLINIC INC
  • Facility Address: 107 W CNTRAL AVE
    HOWEY IN THE HILLS, FL
    ZIP 34737
  • Facility Phone: 352 324-0504
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: LOWELL F. CLARK
  • NPI Number: 1467642942
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2016279
LAB Type Rural Health Clinic
Facility Name CLARK CLINIC INC
Street 107 W CNTRAL AVE
City HOWEY IN THE HILLS
State FL
ZIP 34737
Phone 352 324-0504
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2024
Certificate Expiration Date 11/15/2026
Facility Type Rural Health Clinic
Lab Director LOWELL F. CLARK

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