10D2236846 CLIA NUMBER - COMPASSIONATE CARE PRIMARY SERVICE, LLC

Laboratory Demographics

  • CLIA Code: 10D2236846
  • Facility Name: COMPASSIONATE CARE PRIMARY SERVICE, LLC
  • Facility Address: 18490 NE 76TH LANE
    WILLISTON, FL
    ZIP 32696
  • Facility Phone: 352 284-4095
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: DIRONADA K. STRANGE
  • NPI Number: 1346997871
  • Taxonomy: 251C00000X - Day Training, Developmentally Disabled Services

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CLIA Record

Field Name Field Value
CLIA Number 10D2236846
LAB Type Mobile Laboratory
Facility Name COMPASSIONATE CARE PRIMARY SERVICE, LLC
Street 18490 NE 76TH LANE
City WILLISTON
State FL
ZIP 32696
Phone 352 284-4095
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2025
Certificate Expiration Date 9/20/2027
Facility Type Mobile Laboratory
Lab Director DIRONADA K. STRANGE

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