10D2126243 CLIA NUMBER - NOVUS SPINE LLC

Laboratory Demographics

  • CLIA Code: 10D2126243
  • Facility Name: NOVUS SPINE LLC
  • Facility Address: 631 MID-FLORIDA DR
    LAKELAND, FL
    ZIP 33813
  • Facility Phone: 863 583-4445
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BENITO TORRES
  • NPI Number: 1407300890
  • Taxonomy: 2081P2900X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 10D2126243
LAB Type Physician Office
Facility Name NOVUS SPINE LLC
Street 631 MID-FLORIDA DR
City LAKELAND
State FL
ZIP 33813
Phone 863 583-4445
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2025
Certificate Expiration Date 2/21/2027
Facility Type Physician Office
Lab Director BENITO TORRES

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