10D2321009 CLIA NUMBER - GREGORY L HENDERSON, MD, FACS, INC

Laboratory Demographics

  • CLIA Code: 10D2321009
  • Facility Name: GREGORY L HENDERSON, MD, FACS, INC
  • Facility Address: 2002 S ALEXANDER ST
    PLANT CITY, FL
    ZIP 33563
  • Facility Phone: 813 856-2020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHELSIE A. MCDOW
  • NPI Number: 1174401475
  • Taxonomy: 225200000X - Physical Therapy Assistant

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CLIA Record

Field Name Field Value
CLIA Number 10D2321009
LAB Type Physician Office
Facility Name GREGORY L HENDERSON, MD, FACS, INC
Street 2002 S ALEXANDER ST
City PLANT CITY
State FL
ZIP 33563
Phone 813 856-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2025
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director CHELSIE A. MCDOW

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