10D2283296 CLIA NUMBER - MONICA L CRAIG NP-C LLC DBA INTEGRATIVE DIRECT PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 10D2283296
  • Facility Name: MONICA L CRAIG NP-C LLC DBA INTEGRATIVE DIRECT PRIMARY CARE
  • Facility Address: 137 SE CRAIG AVE
    LAKE CITY, FL
    ZIP 32025
  • Facility Phone: (386) 247-0572
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MONICA L. CRAIG
  • NPI Number: 1760201693
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 10D2283296
LAB Type Physician Office
Facility Name MONICA L CRAIG NP-C LLC DBA INTEGRATIVE DIRECT PRIMARY CARE
Street 137 SE CRAIG AVE
City LAKE CITY
State FL
ZIP 32025
Phone 3862470572
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2025
Certificate Expiration Date 6/5/2027
Facility Type Physician Office
Lab Director MONICA L. CRAIG

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This page was last updated on: 5/18/2026