10D2035843 CLIA NUMBER - DYNAMIC HEALTH CENTERS INC

Laboratory Demographics

  • CLIA Code: 10D2035843
  • Facility Name: DYNAMIC HEALTH CENTERS INC
  • Facility Address: 163 SW STONEGATE TERRACE, SUITE 109
    LAKE CITY, FL
    ZIP 32024
  • Facility Phone: 386 438-8391
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILBERT C. JACOBS
  • NPI Number: 1508181272
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2035843
LAB Type Physician Office
Facility Name DYNAMIC HEALTH CENTERS INC
Street 163 SW STONEGATE TERRACE, SUITE 109
City LAKE CITY
State FL
ZIP 32024
Phone 386 438-8391
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2024
Certificate Expiration Date 1/25/2026
Facility Type Physician Office
Lab Director WILBERT C. JACOBS

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