10D1008863 CLIA NUMBER - ALLERGY ASTHMA SPECIALISTS

Laboratory Demographics

CLIA Number: 10D1008863

Facility Name: ALLERGY ASTHMA SPECIALISTS

Facility Address:
661 E ALTAMONTE DR #315
ALTAMONTE SPRINGS, FL
ZIP 32701
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Facility Phone Number: 407 339-3002

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1174689574

Taxonomy: 207KA0200X - Allergy & Immunology
A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	10D1008863
LAB Type	Physician Office
Facility Name	ALLERGY ASTHMA SPECIALISTS
Street	661 E ALTAMONTE DR #315
City	ALTAMONTE SPRINGS
State	FL
ZIP	32701
Phone	407 339-3002
CertificateType	4
CertificateEffectiveDate	1/30/2023
CertificateExpirationDate	1/29/2025
FacilityType	Waiver

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