10D2318003 CLIA NUMBER - MARY JOSEFYK, DNP, APRN, PA

Laboratory Demographics

  • CLIA Code: 10D2318003
  • Facility Name: MARY JOSEFYK, DNP, APRN, PA
  • Facility Address: 13 N MAIN AVE
    LAKE PLACID, FL
    ZIP 33852
  • Facility Phone: 863 659-1079
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARY JOSEFYK
  • NPI Number: 1831578145
  • Taxonomy: 363LP2300X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 10D2318003
LAB Type Physician Office
Facility Name MARY JOSEFYK, DNP, APRN, PA
Street 13 N MAIN AVE
City LAKE PLACID
State FL
ZIP 33852
Phone 863 659-1079
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2025
Certificate Expiration Date 2/3/2027
Facility Type Physician Office
Lab Director MARY JOSEFYK

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