10D2200455 CLIA NUMBER - VILLAGE VERANDA AT LADY LAKE

Laboratory Demographics

  • CLIA Code: 10D2200455
  • Facility Name: VILLAGE VERANDA AT LADY LAKE
  • Facility Address: 955 HWY 27/441
    LADY LAKE, FL
    ZIP 32159
  • Facility Phone: 352 268-3523
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KENNETH RAGAN
  • NPI Number: 1124050737
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2200455
LAB Type Assisted Living Facility
Facility Name VILLAGE VERANDA AT LADY LAKE
Street 955 HWY 27/441
City LADY LAKE
State FL
ZIP 32159
Phone 352 268-3523
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2024
Certificate Expiration Date 11/15/2026
Facility Type Assisted Living Facility
Lab Director KENNETH RAGAN

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