10D0299033 CLIA NUMBER - FAMILY PRACTICE - ST CLOUD INC DBA PROHEALTH FAMILY PHYSICIANS

Laboratory Demographics

  • CLIA Code: 10D0299033
  • Facility Name: FAMILY PRACTICE - ST CLOUD INC DBA PROHEALTH FAMILY PHYSICIANS
  • Facility Address: 3100 17TH ST STE A
    SAINT CLOUD, FL
    ZIP 34769
  • Facility Phone: 407 892-0009
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANGEETA HANS
  • NPI Number: 1336189190
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0299033
LAB Type Physician Office
Facility Name FAMILY PRACTICE - ST CLOUD INC DBA PROHEALTH FAMILY PHYSICIANS
Street 3100 17TH ST STE A
City SAINT CLOUD
State FL
ZIP 34769
Phone 407 892-0009
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2023
Certificate Expiration Date 11/7/2025
Facility Type Physician Office
Lab Director SANGEETA HANS

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This page was last updated on: 3/20/2025