10D2150899 CLIA NUMBER - HANA J CLEMENTS, MD LLC

Laboratory Demographics

  • CLIA Code: 10D2150899
  • Facility Name: HANA J CLEMENTS, MD LLC
  • Facility Address: 1629 LAKELAND HILLS BLVD
    LAKELAND, FL
    ZIP 33805
  • Facility Phone: 863 687-9333
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HANA J. CLEMENTS
  • NPI Number: 1871518381
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2150899
LAB Type Physician Office
Facility Name HANA J CLEMENTS, MD LLC
Street 1629 LAKELAND HILLS BLVD
City LAKELAND
State FL
ZIP 33805
Phone 863 687-9333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2024
Certificate Expiration Date 7/5/2026
Facility Type Physician Office
Lab Director HANA J. CLEMENTS

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