10D1053845 CLIA NUMBER - ON SITE MEDICAL SERVICES INC

Laboratory Demographics

CLIA Number: 10D1053845

Facility Name: ON SITE MEDICAL SERVICES INC

Facility Address:
813 E MICHIGAN ST
ORLANDO, FL
ZIP 32806
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Facility Phone Number: 407 893-7055

Facility Type: Health Fair

Certificate Type: Waiver

NPI Number: 1922058106

Taxonomy: 261QC1800X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D1053845
LAB Type	Health Fair
Facility Name	ON SITE MEDICAL SERVICES INC
Street	813 E MICHIGAN ST
City	ORLANDO
State	FL
ZIP	32806
Phone	407 893-7055
CertificateType	4
CertificateEffectiveDate	5/8/2024
CertificateExpirationDate	5/7/2026
FacilityType	Waiver

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