10D1009882 CLIA NUMBER - CHILDRENS MEDICAL CENTER

Laboratory Demographics

CLIA Number: 10D1009882

Facility Name: CHILDRENS MEDICAL CENTER

Facility Address:
14861 NW HWY 441
ALACHUA, FL
ZIP 32615
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Facility Phone Number: (386) 462-1911

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1801980909

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D1009882
LAB Type	PHYSICIAN OFFICE
Facility Name	CHILDRENS MEDICAL CENTER
Street	14861 NW HWY 441
City	ALACHUA
State	FL
ZIP	32615
Phone	(386) 462-1911

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This page was last updated on: 5/11/2023