10D2057102 CLIA NUMBER - KELLER & GOODMAN MD PA

Laboratory Demographics

  • CLIA Code: 10D2057102
  • Facility Name: KELLER & GOODMAN MD PA
  • Facility Address: 1879 NIGHTINGALE LN STE C-2
    TAVARES, FL
    ZIP 32778
  • Facility Phone: 352 742-7776
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: CHRIS KECHRIOTIS
  • NPI Number: 1225168701
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2057102
LAB Type Physician Office
Facility Name KELLER & GOODMAN MD PA
Street 1879 NIGHTINGALE LN STE C-2
City TAVARES
State FL
ZIP 32778
Phone 352 742-7776
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 6/28/2025
Certificate Expiration Date 6/27/2027
Facility Type Physician Office
Lab Director CHRIS KECHRIOTIS

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