10D2266179 CLIA NUMBER - HIGHWAY INTEGRATIVE MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 10D2266179
  • Facility Name: HIGHWAY INTEGRATIVE MEDICAL CENTER
  • Facility Address: 161 WEBB DR - STE 200
    DAVENPORT, FL
    ZIP 33837
  • Facility Phone: 863 353-1384
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSE A. LOPEZ-CHEVRES
  • NPI Number: 1508503319
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2266179
LAB Type Physician Office
Facility Name HIGHWAY INTEGRATIVE MEDICAL CENTER
Street 161 WEBB DR - STE 200
City DAVENPORT
State FL
ZIP 33837
Phone 863 353-1384
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2024
Certificate Expiration Date 8/7/2026
Facility Type Physician Office
Lab Director JOSE A. LOPEZ-CHEVRES

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