10D0870273 CLIA NUMBER - ADVENTHEALTH MEDICAL GROUP OBSTETRICS & GYNECOLOGY AT OAKFIELD

Laboratory Demographics

CLIA Number: 10D0870273

Facility Name: ADVENTHEALTH MEDICAL GROUP OBSTETRICS & GYNECOLOGY AT OAKFIELD

Facility Address:
505 OAKFIELD DRIVE
BRANDON, FL
ZIP 33511
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Facility Phone Number: 813 684-2229

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1619500881

Taxonomy: 261QR0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0870273
LAB Type	Physician Office
Facility Name	ADVENTHEALTH MEDICAL GROUP OBSTETRICS & GYNECOLOGY AT OAKFIELD
Street	505 OAKFIELD DRIVE
City	BRANDON
State	FL
ZIP	33511
Phone	813 684-2229
CertificateType	4
CertificateEffectiveDate	4/18/2024
CertificateExpirationDate	4/17/2026
FacilityType	Waiver

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