10D2214871 CLIA NUMBER - STANKUS FAMILY CARE

Laboratory Demographics

CLIA Number: 10D2214871

Facility Name: STANKUS FAMILY CARE

Facility Address:
18743 NW 234TH STREET
HIGH SPRINGS, FL
ZIP 32643
Get Directions

Facility Phone Number: 352 231-7551

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1225702855

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	10D2214871
LAB Type	Physician Office
Facility Name	STANKUS FAMILY CARE
Street	18743 NW 234TH STREET
City	HIGH SPRINGS
State	FL
ZIP	32643
Phone	352 231-7551
CertificateType	4
CertificateEffectiveDate	2/25/2023
CertificateExpirationDate	2/24/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024