10D2152672 CLIA NUMBER - PEACE RIVER CENTER

Laboratory Demographics

  • CLIA Code: 10D2152672
  • Facility Name: PEACE RIVER CENTER
  • Facility Address: 3201 MEDICAL WAY SUITE 104
    SEBRING, FL
    ZIP 33870
  • Facility Phone: 863 519-0575
  • Facility Type: Other - BEHAVIORAL HEALTH CARE
  • Facility Type: Waiver
  • Lab Director: MIGNIN P. BURR
  • NPI Number: 1114673589
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 10D2152672
LAB Type Other - BEHAVIORAL HEALTH CARE
Facility Name PEACE RIVER CENTER
Street 3201 MEDICAL WAY SUITE 104
City SEBRING
State FL
ZIP 33870
Phone 863 519-0575
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2024
Certificate Expiration Date 8/13/2026
Facility Type Other - BEHAVIORAL HEALTH CARE
Lab Director MIGNIN P. BURR

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