10D2325099 CLIA NUMBER - RDM PROFESSIONAL SERVICES, INC

Laboratory Demographics

  • CLIA Code: 10D2325099
  • Facility Name: RDM PROFESSIONAL SERVICES, INC
  • Facility Address: 777 W DUVAL ST
    LAKE CITY, FL
    ZIP 32025
  • Facility Phone: (386) 755-3300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROLANDO DOMINGUEZ
  • NPI Number: 1699322867
  • Taxonomy: 207RA0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2325099
LAB Type Physician Office
Facility Name RDM PROFESSIONAL SERVICES, INC
Street 777 W DUVAL ST
City LAKE CITY
State FL
ZIP 32025
Phone 3867553300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2025
Certificate Expiration Date 6/5/2027
Facility Type Physician Office
Lab Director ROLANDO DOMINGUEZ

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This page was last updated on: 5/18/2026