10D2064599 CLIA NUMBER - PH I LLC ARNP CLINIC FLORIDA PRESBYTERIAN HOMES

Laboratory Demographics

  • CLIA Code: 10D2064599
  • Facility Name: PH I LLC ARNP CLINIC FLORIDA PRESBYTERIAN HOMES
  • Facility Address: 16 LAKE HUNTER DR
    LAKELAND, FL
    ZIP 33803
  • Facility Phone: 863 577-6038
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: CYNTHIA A. BROWN
  • NPI Number: 1730699588
  • Taxonomy: 183500000X - Pharmacist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2064599
LAB Type Practitioner Other
Facility Name PH I LLC ARNP CLINIC FLORIDA PRESBYTERIAN HOMES
Street 16 LAKE HUNTER DR
City LAKELAND
State FL
ZIP 33803
Phone 863 577-6038
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2025
Certificate Expiration Date 8/22/2027
Facility Type Practitioner Other
Lab Director CYNTHIA A. BROWN

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