10D2189504 CLIA NUMBER - MULBERRY'S MOBILE PROVIDER SERVICES LLC

Laboratory Demographics

  • CLIA Code: 10D2189504
  • Facility Name: MULBERRY'S MOBILE PROVIDER SERVICES LLC
  • Facility Address: 6435 SE US HWY 301
    HAWTHORNE, FL
    ZIP 32640
  • Facility Phone: 352 358-8070
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CELAL ERBAY
  • NPI Number: 1831683861
  • Taxonomy: 208D00000X - General Practice

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2189504
LAB Type Physician Office
Facility Name MULBERRY'S MOBILE PROVIDER SERVICES LLC
Street 6435 SE US HWY 301
City HAWTHORNE
State FL
ZIP 32640
Phone 352 358-8070
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2024
Certificate Expiration Date 7/30/2026
Facility Type Physician Office
Lab Director CELAL ERBAY

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