10D2277304 CLIA NUMBER - DIVERSITY HEALTHCARE

Laboratory Demographics

  • CLIA Code: 10D2277304
  • Facility Name: DIVERSITY HEALTHCARE
  • Facility Address: 1011 E MAIN ST, STE A
    HAINES CITY, FL
    ZIP 33844
  • Facility Phone: 863 419-4422
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: CLAYTON REEDY
  • NPI Number: 1144907429
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2277304
LAB Type Practitioner Other
Facility Name DIVERSITY HEALTHCARE
Street 1011 E MAIN ST, STE A
City HAINES CITY
State FL
ZIP 33844
Phone 863 419-4422
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2025
Certificate Expiration Date 2/23/2027
Facility Type Practitioner Other
Lab Director CLAYTON REEDY

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