10D0966027 CLIA NUMBER - AFFORDABLE PRIMARY CARE LLC

Laboratory Demographics

CLIA Number: 10D0966027

Facility Name: AFFORDABLE PRIMARY CARE LLC

Facility Address:
1840 CLASSIQUE LANE
TAVARES, FL
ZIP 32778
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Facility Phone Number: 352 483-3730

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1659888394

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	10D0966027
LAB Type	Physician Office
Facility Name	AFFORDABLE PRIMARY CARE LLC
Street	1840 CLASSIQUE LANE
City	TAVARES
State	FL
ZIP	32778
Phone	352 483-3730
CertificateType	4
CertificateEffectiveDate	10/6/2023
CertificateExpirationDate	10/5/2025
FacilityType	Waiver

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