10D1097673 CLIA NUMBER - ADVENTHEALTH CENTRA CARE WINTER GARDEN

Laboratory Demographics

CLIA Number: 10D1097673

Facility Name: ADVENTHEALTH CENTRA CARE WINTER GARDEN

Facility Address:
3005 DANIELS ROAD
WINTER GARDEN, FL
ZIP 34787
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Facility Phone Number: 407 654-4965

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1912463258

Taxonomy: 2085R0202X - Radiology
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

CLIA Record

Field Name	Field Value
CLIA Number	10D1097673
LAB Type	Physician Office
Facility Name	ADVENTHEALTH CENTRA CARE WINTER GARDEN
Street	3005 DANIELS ROAD
City	WINTER GARDEN
State	FL
ZIP	34787
Phone	407 654-4965
CertificateType	4
CertificateEffectiveDate	5/14/2023
CertificateExpirationDate	5/13/2025
FacilityType	Waiver

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