10D2289384 CLIA NUMBER - STEINHATCHEE RIVER PRIMARY CARE LLC

Laboratory Demographics

  • CLIA Code: 10D2289384
  • Facility Name: STEINHATCHEE RIVER PRIMARY CARE LLC
  • Facility Address: 101 11TH STREET SOUTH EAST
    STEINHATCHEE, FL
    ZIP 32359
  • Facility Phone: 352 538-1327
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: KELLE WHITE
  • NPI Number: 1295419877
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2289384
LAB Type Practitioner Other
Facility Name STEINHATCHEE RIVER PRIMARY CARE LLC
Street 101 11TH STREET SOUTH EAST
City STEINHATCHEE
State FL
ZIP 32359
Phone 352 538-1327
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2025
Certificate Expiration Date 9/10/2027
Facility Type Practitioner Other
Lab Director KELLE WHITE

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