10D2187935 CLIA NUMBER - CORKREAN CLINIC FOR HEALTH AND WELLNESS, THE

Laboratory Demographics

  • CLIA Code: 10D2187935
  • Facility Name: CORKREAN CLINIC FOR HEALTH AND WELLNESS, THE
  • Facility Address: 32713 COUNTY ROAD 473
    LEESBURG, FL
    ZIP 34788
  • Facility Phone: 352 742-8080
  • Facility Type: Other - PHARMACY CLINIC
  • Facility Type: Waiver
  • Lab Director: WENDY S. PEROTT
  • NPI Number: 1538101167
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2187935
LAB Type Other - PHARMACY CLINIC
Facility Name CORKREAN CLINIC FOR HEALTH AND WELLNESS, THE
Street 32713 COUNTY ROAD 473
City LEESBURG
State FL
ZIP 34788
Phone 352 742-8080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2024
Certificate Expiration Date 7/9/2026
Facility Type Other - PHARMACY CLINIC
Lab Director WENDY S. PEROTT

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