10D2044059 CLIA NUMBER - PADALA FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 10D2044059
  • Facility Name: PADALA FAMILY PRACTICE
  • Facility Address: 2063 N LECANTO HWY #1 - SUNSHINE PLAZA
    LECANTO, FL
    ZIP 34461
  • Facility Phone: 352 436-4428
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAKSHMI N. PADALA
  • NPI Number: 1447505227
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2044059
LAB Type Physician Office
Facility Name PADALA FAMILY PRACTICE
Street 2063 N LECANTO HWY #1 - SUNSHINE PLAZA
City LECANTO
State FL
ZIP 34461
Phone 352 436-4428
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2024
Certificate Expiration Date 7/16/2026
Facility Type Physician Office
Lab Director LAKSHMI N. PADALA

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