10D2076168 CLIA NUMBER - LIFESTREAM BEHAVIORAL CENTER INC

Laboratory Demographics

  • CLIA Code: 10D2076168
  • Facility Name: LIFESTREAM BEHAVIORAL CENTER INC
  • Facility Address: 215 N 3RD ST
    LEESBURG, FL
    ZIP 34748
  • Facility Phone: 352 315-7946
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: THOMAS J. VALENTE
  • NPI Number: 1902802002
  • Taxonomy: 283Q00000X - Psychiatric Hospital

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CLIA Record

Field Name Field Value
CLIA Number 10D2076168
LAB Type Community Clinic
Facility Name LIFESTREAM BEHAVIORAL CENTER INC
Street 215 N 3RD ST
City LEESBURG
State FL
ZIP 34748
Phone 352 315-7946
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2024
Certificate Expiration Date 4/13/2026
Facility Type Community Clinic
Lab Director THOMAS J. VALENTE

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