10D2175973 CLIA NUMBER - SOUTH FLORIDA ENT ASSOCIATES INC DBA THE BARRANCO CLINIC

Laboratory Demographics

  • CLIA Code: 10D2175973
  • Facility Name: SOUTH FLORIDA ENT ASSOCIATES INC DBA THE BARRANCO CLINIC
  • Facility Address: 302 W CENTRAL AVE
    LAKE WALES, FL
    ZIP 33853
  • Facility Phone: 863 678-3808
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT M. MERRITT
  • NPI Number: 1093466948
  • Taxonomy: 207Y00000X - Otolaryngology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2175973
LAB Type Physician Office
Facility Name SOUTH FLORIDA ENT ASSOCIATES INC DBA THE BARRANCO CLINIC
Street 302 W CENTRAL AVE
City LAKE WALES
State FL
ZIP 33853
Phone 863 678-3808
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2023
Certificate Expiration Date 12/4/2025
Facility Type Physician Office
Lab Director ROBERT M. MERRITT

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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