10D2283903 CLIA NUMBER - TAYLEN PEADEN DO, PLLC

Laboratory Demographics

  • CLIA Code: 10D2283903
  • Facility Name: TAYLEN PEADEN DO, PLLC
  • Facility Address: 1111 S W MAIN BLVD
    LAKE CITY, FL
    ZIP 32025
  • Facility Phone: 386 365-4922
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TAYLEN C. PEADEN
  • NPI Number: 1710693858
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2283903
LAB Type Physician Office
Facility Name TAYLEN PEADEN DO, PLLC
Street 1111 S W MAIN BLVD
City LAKE CITY
State FL
ZIP 32025
Phone 386 365-4922
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2025
Certificate Expiration Date 6/13/2027
Facility Type Physician Office
Lab Director TAYLEN C. PEADEN

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