10D2026125 CLIA NUMBER - VILLAGE DOCTORS FAMILY MEDICAL CENTER OF KEYSTONE HGTS

Laboratory Demographics

  • CLIA Code: 10D2026125
  • Facility Name: VILLAGE DOCTORS FAMILY MEDICAL CENTER OF KEYSTONE HGTS
  • Facility Address: 175 N LAWRENCE BLVD
    KEYSTONE HEIGHTS, FL
    ZIP 32656
  • Facility Phone: 352 473-3199
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GLORIA NIQUETTE
  • NPI Number: 1942344296
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2026125
LAB Type Physician Office
Facility Name VILLAGE DOCTORS FAMILY MEDICAL CENTER OF KEYSTONE HGTS
Street 175 N LAWRENCE BLVD
City KEYSTONE HEIGHTS
State FL
ZIP 32656
Phone 352 473-3199
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/23/2025
Certificate Expiration Date 6/22/2027
Facility Type Physician Office
Lab Director GLORIA NIQUETTE

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