10D2240710 CLIA NUMBER - DOMINION RESOURCE CENTER, LLC

Laboratory Demographics

  • CLIA Code: 10D2240710
  • Facility Name: DOMINION RESOURCE CENTER, LLC
  • Facility Address: 6700 S FLORIDA AVE - UNIT 9
    LAKELAND, FL
    ZIP 33813
  • Facility Phone: 863 940-2910
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: FOLAKE O. BAMIGBADE
  • NPI Number: 1982374948
  • Taxonomy: 251E00000X - Home Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2240710
LAB Type Home Health Agency
Facility Name DOMINION RESOURCE CENTER, LLC
Street 6700 S FLORIDA AVE - UNIT 9
City LAKELAND
State FL
ZIP 33813
Phone 863 940-2910
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2025
Certificate Expiration Date 10/20/2027
Facility Type Home Health Agency
Lab Director FOLAKE O. BAMIGBADE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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