10D2216221 CLIA NUMBER - LUCENT HEALTH LLC

Laboratory Demographics

  • CLIA Code: 10D2216221
  • Facility Name: LUCENT HEALTH LLC
  • Facility Address: 1110 PELICAN BAY DR
    DAYTONA BEACH, FL
    ZIP 32119
  • Facility Phone: 386 265-0012
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: IYAD SHAKER
  • NPI Number: 1205465507
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 10D2216221
LAB Type Home Health Agency
Facility Name LUCENT HEALTH LLC
Street 1110 PELICAN BAY DR
City DAYTONA BEACH
State FL
ZIP 32119
Phone 386 265-0012
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2025
Certificate Expiration Date 3/9/2027
Facility Type Home Health Agency
Lab Director IYAD SHAKER

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