10D0968100 CLIA NUMBER - CENTRAL FLORIDA HEALTH CARE, INC

Laboratory Demographics

CLIA Number: 10D0968100

Facility Name: CENTRAL FLORIDA HEALTH CARE, INC

Facility Address:
916 SR 542
DUNDEE, FL
ZIP 33838
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Facility Phone Number: 863 291-5110

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1780194928

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0968100
LAB Type	Federally Qualified Health Center
Facility Name	CENTRAL FLORIDA HEALTH CARE, INC
Street	916 SR 542
City	DUNDEE
State	FL
ZIP	33838
Phone	863 291-5110
CertificateType	4
CertificateEffectiveDate	1/1/2024
CertificateExpirationDate	12/31/2025
FacilityType	Waiver

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