10D2137439 CLIA NUMBER - ADVANTAGE MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 10D2137439
  • Facility Name: ADVANTAGE MEDICAL GROUP
  • Facility Address: 2407 US HWY 98 N
    LAKELAND, FL
    ZIP 33805
  • Facility Phone: 407 930-1112
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELLY BENZAQUEN-PARKES
  • NPI Number: 1932640539
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 10D2137439
LAB Type Physician Office
Facility Name ADVANTAGE MEDICAL GROUP
Street 2407 US HWY 98 N
City LAKELAND
State FL
ZIP 33805
Phone 407 930-1112
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/26/2025
Certificate Expiration Date 9/25/2027
Facility Type Physician Office
Lab Director ELLY BENZAQUEN-PARKES

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