| Entity Name: | CLINICAL LABORATORY GROUP,INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 23 Mar 2009 (16 years ago) |
| Date of dissolution: | 23 Sep 2011 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (13 years ago) |
| Document Number: | P09000026420 |
| FEI/EIN Number | 264508624 |
| Address: | 19804 NE 22ND LANE, HAWTHORNE, FL, 32640 |
| Mail Address: | 19804 NE 22ND LANE, HAWTHORNE, FL, 32640 |
| ZIP code: | 32640 |
| County: | Putnam |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659694503 | 2010-03-07 | 2010-03-07 | 19804 NE 22ND LN, HAWTHORNE, FL, 326402900, US | 298 S LAWRENCE BLVD, KEYSTONE HEIGHTS, FL, 326569217, US | |||||||||||||||||||
|
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| Phone | +1 352-514-7920 |
| Phone | +1 352-473-8483 |
Authorized person
| Name | MR. DARREN DAVID LOTOW |
| Role | OWNER |
| Phone | 3525147920 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| License Number | 10D200128 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LOTOW DARREN D | Agent | 19804 NE 22 LANE, HAWTHORNE, FL, 32640 |
| Name | Role | Address |
|---|---|---|
| LOTOW DARREN D | President | 19804 NE 22 LANE, HAWTHORNE, FL, 32640 |
| Name | Role | Address |
|---|---|---|
| LOTOW DARREN D | Treasurer | 19804 NE 22 LANE, HAWTHORNE, FL, 32640 |
| Name | Role | Address |
|---|---|---|
| LOTOW CATHERINE L | Vice President | 19804 NE 22 LN, HAWTHORNE, FL, 32640 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-04-19 | 19804 NE 22ND LANE, HAWTHORNE, FL 32640 | No data |
| CHANGE OF MAILING ADDRESS | 2010-04-19 | 19804 NE 22ND LANE, HAWTHORNE, FL 32640 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-04-19 | 19804 NE 22 LANE, HAWTHORNE, FL 32640 | No data |
| AMENDMENT AND NAME CHANGE | 2009-11-12 | CLINICAL LABORATORY GROUP,INC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2010-04-19 |
| Amendment and Name Change | 2009-11-12 |
| Domestic Profit | 2009-03-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
