10D2100652 CLIA NUMBER - LAKELAND REGIONAL HEALTH

Laboratory Demographics

  • CLIA Code: 10D2100652
  • Facility Name: LAKELAND REGIONAL HEALTH
  • Facility Address: 111 LAKE HOLLINGSWORTH DR
    LAKELAND, FL
    ZIP 33801
  • Facility Phone: 863 687-1436
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRIAN J. YODER
  • NPI Number: 1649220872
  • Taxonomy: 207ZP0102X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 10D2100652
LAB Type Physician Office
Facility Name LAKELAND REGIONAL HEALTH
Street 111 LAKE HOLLINGSWORTH DR
City LAKELAND
State FL
ZIP 33801
Phone 863 687-1436
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2025
Certificate Expiration Date 8/18/2027
Facility Type Physician Office
Lab Director BRIAN J. YODER

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