10D2319443 CLIA NUMBER - SPLENDIDLY MADE LLC

Laboratory Demographics

  • CLIA Code: 10D2319443
  • Facility Name: SPLENDIDLY MADE LLC
  • Facility Address: 230 N MAIN STREET
    BUSHNELL, FL
    ZIP 33513
  • Facility Phone: 352 254-4484
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DENISE M. CHANDLER
  • NPI Number: 1003679457
  • Taxonomy: 363LP0808X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 10D2319443
LAB Type Practitioner Other
Facility Name SPLENDIDLY MADE LLC
Street 230 N MAIN STREET
City BUSHNELL
State FL
ZIP 33513
Phone 352 254-4484
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Practitioner Other
Lab Director DENISE M. CHANDLER

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