10D2320088 CLIA NUMBER - PEACE RIVER CENTER

Laboratory Demographics

  • CLIA Code: 10D2320088
  • Facility Name: PEACE RIVER CENTER
  • Facility Address: 1225 N GILMORE AVE
    LAKELAND, FL
    ZIP 33805
  • Facility Phone: 863 519-0575
  • Facility Type: Other - BEHAVIORAL HEALTHCARE
  • Facility Type: Waiver
  • Lab Director: VERONICA L. SANTANA
  • NPI Number: 1285380642
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2320088
LAB Type Other - BEHAVIORAL HEALTHCARE
Facility Name PEACE RIVER CENTER
Street 1225 N GILMORE AVE
City LAKELAND
State FL
ZIP 33805
Phone 863 519-0575
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2025
Certificate Expiration Date 3/11/2027
Facility Type Other - BEHAVIORAL HEALTHCARE
Lab Director VERONICA L. SANTANA

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