10D2154141 CLIA NUMBER - LAKOTA WELLNESS

Laboratory Demographics

  • CLIA Code: 10D2154141
  • Facility Name: LAKOTA WELLNESS
  • Facility Address: 2910 MAGUIRE RD STE 1009
    OCOEE, FL
    ZIP 34761
  • Facility Phone: 407 877-8707
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELYSE SALTALAMACHIA
  • NPI Number: 1396070041
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2154141
LAB Type Physician Office
Facility Name LAKOTA WELLNESS
Street 2910 MAGUIRE RD STE 1009
City OCOEE
State FL
ZIP 34761
Phone 407 877-8707
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2024
Certificate Expiration Date 9/5/2026
Facility Type Physician Office
Lab Director ELYSE SALTALAMACHIA

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