10D1004365 CLIA NUMBER - ALPHA MEDICAL CORPORATION

Laboratory Demographics

CLIA Number: 10D1004365

Facility Name: ALPHA MEDICAL CORPORATION

Facility Address:
172 S SEMORAN BLVD
ORLANDO, FL
ZIP 32807
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Facility Phone Number: 407 380-1951

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1427477728

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D1004365
LAB Type	Physician Office
Facility Name	ALPHA MEDICAL CORPORATION
Street	172 S SEMORAN BLVD
City	ORLANDO
State	FL
ZIP	32807
Phone	407 380-1951
CertificateType	4
CertificateEffectiveDate	9/25/2022
CertificateExpirationDate	9/24/2024
FacilityType	Waiver

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