10D1060855 CLIA NUMBER - AMELIA URGENT CARE

Laboratory Demographics

CLIA Number: 10D1060855

Facility Name: AMELIA URGENT CARE

Facility Address:
96279 BRANDY POINT RD
FERNANDINA BEACH, FL
ZIP 32034
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Facility Phone Number: 904 321-0088

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1841366812

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D1060855
LAB Type	Physician Office
Facility Name	AMELIA URGENT CARE
Street	96279 BRANDY POINT RD
City	FERNANDINA BEACH
State	FL
ZIP	32034
Phone	904 321-0088
CertificateType	4
CertificateEffectiveDate	11/3/2022
CertificateExpirationDate	11/2/2024
FacilityType	Waiver

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