10D2246197 CLIA NUMBER - STEVENS JOINT ENTERPRISE LLC

Laboratory Demographics

  • CLIA Code: 10D2246197
  • Facility Name: STEVENS JOINT ENTERPRISE LLC
  • Facility Address: 1038 LAKE BERKLEY DRIVE
    KISSIMMEE, FL
    ZIP 34746
  • Facility Phone: 772 475-1463
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: CATHY L. STEVENS
  • NPI Number: 1932869666
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 10D2246197
LAB Type Mobile Laboratory
Facility Name STEVENS JOINT ENTERPRISE LLC
Street 1038 LAKE BERKLEY DRIVE
City KISSIMMEE
State FL
ZIP 34746
Phone 772 475-1463
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2023
Certificate Expiration Date 12/20/2025
Facility Type Mobile Laboratory
Lab Director CATHY L. STEVENS

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