10D2321168 CLIA NUMBER - GO MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 10D2321168
  • Facility Name: GO MEDICAL CENTER
  • Facility Address: 601 HOWARD ST EAST
    LIVE OAK, FL
    ZIP 32064
  • Facility Phone: 386 320-6900
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: GIRALDO OLIVERA
  • NPI Number: 1275399289
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2321168
LAB Type Practitioner Other
Facility Name GO MEDICAL CENTER
Street 601 HOWARD ST EAST
City LIVE OAK
State FL
ZIP 32064
Phone 386 320-6900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2025
Certificate Expiration Date 3/30/2027
Facility Type Practitioner Other
Lab Director GIRALDO OLIVERA

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