10D1102315 CLIA NUMBER - CONCENTRA - LEESBURG

Laboratory Demographics

CLIA Number: 10D1102315

Facility Name: CONCENTRA - LEESBURG

Facility Address:
210 S LAKE ST STE 4
LEESBURG, FL
ZIP 34748
Get Directions

Facility Phone Number: 352 314-9300

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1538646534

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D1102315
LAB Type	Physician Office
Facility Name	CONCENTRA - LEESBURG
Street	210 S LAKE ST STE 4
City	LEESBURG
State	FL
ZIP	34748
Phone	352 314-9300
CertificateType	4
CertificateEffectiveDate	7/16/2023
CertificateExpirationDate	7/15/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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