10D2315331 CLIA NUMBER - SPECIALIZED EVENT SERVICES LLC

Laboratory Demographics

  • CLIA Code: 10D2315331
  • Facility Name: SPECIALIZED EVENT SERVICES LLC
  • Facility Address: 1420 W MAIN STREET
    MAYO, FL
    ZIP 32066
  • Facility Phone: 386 703-2003
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DIANE DODGEN
  • NPI Number: 1689495558
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 10D2315331
LAB Type Ambulance
Facility Name SPECIALIZED EVENT SERVICES LLC
Street 1420 W MAIN STREET
City MAYO
State FL
ZIP 32066
Phone 386 703-2003
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2024
Certificate Expiration Date 12/10/2026
Facility Type Ambulance
Lab Director DIANE DODGEN

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