10D1091028 CLIA NUMBER - FLORIDA MEDICAL ASSOCIATES LLC DBA VIPCARE

Laboratory Demographics

  • CLIA Code: 10D1091028
  • Facility Name: FLORIDA MEDICAL ASSOCIATES LLC DBA VIPCARE
  • Facility Address: 620 S LAKE ST STE 6
    LEESBURG, FL
    ZIP 34748
  • Facility Phone: 813 450-4609
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANGEETA HANS
  • NPI Number: 1912954439
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1091028
LAB Type Physician Office
Facility Name FLORIDA MEDICAL ASSOCIATES LLC DBA VIPCARE
Street 620 S LAKE ST STE 6
City LEESBURG
State FL
ZIP 34748
Phone 813 450-4609
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2024
Certificate Expiration Date 10/22/2026
Facility Type Physician Office
Lab Director SANGEETA HANS

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This page was last updated on: 9/29/2025