10D2276625 CLIA NUMBER - SHIELD MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 10D2276625
  • Facility Name: SHIELD MEDICAL GROUP
  • Facility Address: 23607 US HWY 27
    LAKE WALES, FL
    ZIP 33859
  • Facility Phone: 863 236-9550
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KULMEET KUNDLAS
  • NPI Number: 1184125338
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2276625
LAB Type Physician Office
Facility Name SHIELD MEDICAL GROUP
Street 23607 US HWY 27
City LAKE WALES
State FL
ZIP 33859
Phone 863 236-9550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/13/2025
Certificate Expiration Date 2/12/2027
Facility Type Physician Office
Lab Director KULMEET KUNDLAS

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