10D2122063 CLIA NUMBER - TKD HEALTHCARE SERVICES DRIVERS HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 10D2122063
  • Facility Name: TKD HEALTHCARE SERVICES DRIVERS HEALTH CLINIC
  • Facility Address: 556 E SR 44
    WILDWOOD, FL
    ZIP 34785
  • Facility Phone: 352 643-1034
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: BETHANY J. DIXON
  • NPI Number: 1235662636
  • Taxonomy: 111NX0100X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 10D2122063
LAB Type Practitioner Other
Facility Name TKD HEALTHCARE SERVICES DRIVERS HEALTH CLINIC
Street 556 E SR 44
City WILDWOOD
State FL
ZIP 34785
Phone 352 643-1034
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2024
Certificate Expiration Date 11/17/2026
Facility Type Practitioner Other
Lab Director BETHANY J. DIXON

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