10D1021196 CLIA NUMBER - CENTER FOR DIGESTIVE HEALTH

Laboratory Demographics

CLIA Number: 10D1021196

Facility Name: CENTER FOR DIGESTIVE HEALTH

Facility Address:
1817 N MILLS AVE
ORLANDO, FL
ZIP 32803
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Facility Phone Number: 407 896-1726

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1063479459

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	10D1021196
LAB Type	Physician Office
Facility Name	CENTER FOR DIGESTIVE HEALTH
Street	1817 N MILLS AVE
City	ORLANDO
State	FL
ZIP	32803
Phone	407 896-1726
CertificateType	4
CertificateEffectiveDate	1/15/2024
CertificateExpirationDate	1/14/2026
FacilityType	Waiver

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