10D1010409 CLIA NUMBER - ADVENTHEALTH CENTRA CARE WATERFORD LAKES

Laboratory Demographics

CLIA Number: 10D1010409

Facility Name: ADVENTHEALTH CENTRA CARE WATERFORD LAKES

Facility Address:
250 N ALAFAYA TRL STE 135
ORLANDO, FL
ZIP 32825
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Facility Phone Number: 407 381-4810

Facility Type: Other - WALK IN URGENT CARE

Certificate Type: Waiver

NPI Number: 1912194929

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D1010409
LAB Type	Other - WALK IN URGENT CARE
Facility Name	ADVENTHEALTH CENTRA CARE WATERFORD LAKES
Street	250 N ALAFAYA TRL STE 135
City	ORLANDO
State	FL
ZIP	32825
Phone	407 381-4810
CertificateType	4
CertificateEffectiveDate	3/13/2023
CertificateExpirationDate	3/12/2025
FacilityType	Waiver

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