10D2232835 CLIA NUMBER - LAKEWOOD RANCH MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 10D2232835
  • Facility Name: LAKEWOOD RANCH MEDICAL GROUP
  • Facility Address: 6600 UNIVERSITY PARKWAY SUITE 201
    SARASOTA, FL
    ZIP 34240
  • Facility Phone: 941 782-9456
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KELLY A. DUGGIN
  • NPI Number: 1033861125
  • Taxonomy: 163WL0100X - Registered Nurse

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CLIA Record

Field Name Field Value
CLIA Number 10D2232835
LAB Type Physician Office
Facility Name LAKEWOOD RANCH MEDICAL GROUP
Street 6600 UNIVERSITY PARKWAY SUITE 201
City SARASOTA
State FL
ZIP 34240
Phone 941 782-9456
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2025
Certificate Expiration Date 8/17/2027
Facility Type Physician Office
Lab Director KELLY A. DUGGIN

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