10D2149229 CLIA NUMBER - MKMAGAGENCY, LLC DBA HOME INSTEAD SENIOR CARE

Laboratory Demographics

  • CLIA Code: 10D2149229
  • Facility Name: MKMAGAGENCY, LLC DBA HOME INSTEAD SENIOR CARE
  • Facility Address: 810 E MAIN STREET
    LAKELAND, FL
    ZIP 33801
  • Facility Phone: 813 659-6093
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: KARI ANN GOMEZ
  • NPI Number: 1114424389
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 10D2149229
LAB Type Home Health Agency
Facility Name MKMAGAGENCY, LLC DBA HOME INSTEAD SENIOR CARE
Street 810 E MAIN STREET
City LAKELAND
State FL
ZIP 33801
Phone 813 659-6093
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/29/2024
Certificate Expiration Date 5/28/2026
Facility Type Home Health Agency
Lab Director KARI ANN GOMEZ

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