10D2312313 CLIA NUMBER - LITTLE SPROUTS LLC

Laboratory Demographics

  • CLIA Code: 10D2312313
  • Facility Name: LITTLE SPROUTS LLC
  • Facility Address: 18622 NW US HIGHWAY 441
    HIGH SPRINGS, FL
    ZIP 32643
  • Facility Phone: 352 275-7382
  • Facility Type: Other - PPEC
  • Facility Type: Waiver
  • Lab Director: JACOB E. FAUL
  • NPI Number: 1013799188
  • Taxonomy: 261QM3000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2312313
LAB Type Other - PPEC
Facility Name LITTLE SPROUTS LLC
Street 18622 NW US HIGHWAY 441
City HIGH SPRINGS
State FL
ZIP 32643
Phone 352 275-7382
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2024
Certificate Expiration Date 10/8/2026
Facility Type Other - PPEC
Lab Director JACOB E. FAUL

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