10D2224178 CLIA NUMBER - NEWCARE PRIMARY MEDICINE LLC

Laboratory Demographics

  • CLIA Code: 10D2224178
  • Facility Name: NEWCARE PRIMARY MEDICINE LLC
  • Facility Address: 4551 US 90 WEST SUITE 101
    LAKE CITY, FL
    ZIP 32055
  • Facility Phone: 386 319-8178
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELIZABETH K. NEWMAN
  • NPI Number: 1225628803
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2224178
LAB Type Physician Office
Facility Name NEWCARE PRIMARY MEDICINE LLC
Street 4551 US 90 WEST SUITE 101
City LAKE CITY
State FL
ZIP 32055
Phone 386 319-8178
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type Physician Office
Lab Director ELIZABETH K. NEWMAN

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