10D2059553 CLIA NUMBER - GOOD HEALTH PHYSICIANS LLC

Laboratory Demographics

  • CLIA Code: 10D2059553
  • Facility Name: GOOD HEALTH PHYSICIANS LLC
  • Facility Address: 631 E CENTRAL AVE
    WINTER HAVEN, FL
    ZIP 33880
  • Facility Phone: 863 229-2540
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHOBA R. SAMA
  • NPI Number: 1245572908
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2059553
LAB Type Physician Office
Facility Name GOOD HEALTH PHYSICIANS LLC
Street 631 E CENTRAL AVE
City WINTER HAVEN
State FL
ZIP 33880
Phone 863 229-2540
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2025
Certificate Expiration Date 5/23/2027
Facility Type Physician Office
Lab Director SHOBA R. SAMA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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