10D0868496 CLIA NUMBER - CITY OF GAINESVILLE

Laboratory Demographics

CLIA Number: 10D0868496

Facility Name: CITY OF GAINESVILLE

Facility Address:
222 E UNIVERSITY AVE
GAINESVILLE, FL
ZIP 32627
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Facility Phone Number: (352) 334-5037

Facility Type: OTHER PRACTITIONER

Certificate Type: Waiver

NPI Number: 1801371802

Taxonomy: 261QX0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0868496
LAB Type	OTHER PRACTITIONER
Facility Name	CITY OF GAINESVILLE
Street	222 E UNIVERSITY AVE
City	GAINESVILLE
State	FL
ZIP	32627
Phone	(352) 334-5037

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This page was last updated on: 5/11/2023