10D2114782 CLIA NUMBER - AVON PARK CI/AVON PARK WORK CAMP

Laboratory Demographics

  • CLIA Code: 10D2114782
  • Facility Name: AVON PARK CI/AVON PARK WORK CAMP
  • Facility Address: 8100 HWY 64 EAST
    AVON PARK, FL
    ZIP 33825
  • Facility Phone: 863 452-8871
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: WILMA PADRO
  • NPI Number: 1811135502
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2114782
LAB Type Prison
Facility Name AVON PARK CI/AVON PARK WORK CAMP
Street 8100 HWY 64 EAST
City AVON PARK
State FL
ZIP 33825
Phone 863 452-8871
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2024
Certificate Expiration Date 6/20/2026
Facility Type Prison
Lab Director WILMA PADRO

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