10D0901878 CLIA NUMBER - PLANT CITY FAMILY CARE

Laboratory Demographics

CLIA Number: 10D0901878

Facility Name: PLANT CITY FAMILY CARE

Facility Address:
801 E BAKER STREET
PLANT CITY, FL
ZIP 33563
Get Directions

Facility Phone Number: 813 349-7600

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1578573085

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0901878
LAB Type	Federally Qualified Health Center
Facility Name	PLANT CITY FAMILY CARE
Street	801 E BAKER STREET
City	PLANT CITY
State	FL
ZIP	33563
Phone	813 349-7600
CertificateType	4
CertificateEffectiveDate	9/17/2022
CertificateExpirationDate	9/16/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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