10D0275188 CLIA NUMBER - ADVENTHEALTH CENTRA CARE AZALEA PARK

Laboratory Demographics

CLIA Number: 10D0275188

Facility Name: ADVENTHEALTH CENTRA CARE AZALEA PARK

Facility Address:
509 S SEMORAN BLVD
ORLANDO, FL
ZIP 32807
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Facility Phone Number: 407 277-0550

Facility Type: Other - WALK IN URGENT CARE

Certificate Type: Waiver

NPI Number: 1962697268

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0275188
LAB Type	Other - WALK IN URGENT CARE
Facility Name	ADVENTHEALTH CENTRA CARE AZALEA PARK
Street	509 S SEMORAN BLVD
City	ORLANDO
State	FL
ZIP	32807
Phone	407 277-0550
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024