10D2255257 CLIA NUMBER - ROGER C ROQUE MD LLC DBA ST FRANCIS PRIMARY CARE CLINIC

Laboratory Demographics

  • CLIA Code: 10D2255257
  • Facility Name: ROGER C ROQUE MD LLC DBA ST FRANCIS PRIMARY CARE CLINIC
  • Facility Address: 620 S LAKE ST SUITE 2
    LEESBURG, FL
    ZIP 34748
  • Facility Phone: 352 314-6589
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROGER ROQUE
  • NPI Number: 1205571015
  • Taxonomy: 261QM1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2255257
LAB Type Physician Office
Facility Name ROGER C ROQUE MD LLC DBA ST FRANCIS PRIMARY CARE CLINIC
Street 620 S LAKE ST SUITE 2
City LEESBURG
State FL
ZIP 34748
Phone 352 314-6589
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2024
Certificate Expiration Date 3/10/2026
Facility Type Physician Office
Lab Director ROGER ROQUE

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