10D2235877 CLIA NUMBER - LAKEN PHARMACY LLC

Laboratory Demographics

  • CLIA Code: 10D2235877
  • Facility Name: LAKEN PHARMACY LLC
  • Facility Address: 4352 W VINE ST STE 106
    KISSIMMEE, FL
    ZIP 34746
  • Facility Phone: 407 479-0033
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KENNEN MUNOZ MUNOZ
  • NPI Number: 1972172690
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2235877
LAB Type Pharmacy
Facility Name LAKEN PHARMACY LLC
Street 4352 W VINE ST STE 106
City KISSIMMEE
State FL
ZIP 34746
Phone 407 479-0033
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2025
Certificate Expiration Date 9/12/2027
Facility Type Pharmacy
Lab Director KENNEN MUNOZ MUNOZ

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