10D2299295 CLIA NUMBER - HOPE HAVEN LLC

Laboratory Demographics

  • CLIA Code: 10D2299295
  • Facility Name: HOPE HAVEN LLC
  • Facility Address: 1125 1ST SOUTH STREET,
    WINTER HAVEN, FL
    ZIP 33880
  • Facility Phone: 407 780-9070
  • Facility Type: Other - COMMUNITY CLINIC FOR HIV/
  • Facility Type: Waiver
  • Lab Director: LUCIA SANTIAGO
  • NPI Number: 1205674512
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2299295
LAB Type Other - COMMUNITY CLINIC FOR HIV/
Facility Name HOPE HAVEN LLC
Street 1125 1ST SOUTH STREET,
City WINTER HAVEN
State FL
ZIP 33880
Phone 407 780-9070
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/16/2024
Certificate Expiration Date 2/15/2026
Facility Type Other - COMMUNITY CLINIC FOR HIV/
Lab Director LUCIA SANTIAGO

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