10D0913251 CLIA NUMBER - ADVENTHEALTH CENTRA CARE LAKE BUENA VISTA

Laboratory Demographics

CLIA Number: 10D0913251

Facility Name: ADVENTHEALTH CENTRA CARE LAKE BUENA VISTA

Facility Address:
12500 S APOKA VINELAND ROAD
ORLANDO, FL
ZIP 32836
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Facility Phone Number: 407 934-2273

Facility Type: Other - WALK IN URGENT CARE

Certificate Type: Waiver

NPI Number: 1992994743

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0913251
LAB Type	Other - WALK IN URGENT CARE
Facility Name	ADVENTHEALTH CENTRA CARE LAKE BUENA VISTA
Street	12500 S APOKA VINELAND ROAD
City	ORLANDO
State	FL
ZIP	32836
Phone	407 934-2273
CertificateType	4
CertificateEffectiveDate	3/26/2024
CertificateExpirationDate	3/25/2026
FacilityType	Waiver

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