10D1106530 CLIA NUMBER - CARE ONE OF FLORIDA

Laboratory Demographics

CLIA Number: 10D1106530

Facility Name: CARE ONE OF FLORIDA

Facility Address:
12220 CORTEZ BLVD
BROOKSVILLE, FL
ZIP 34613
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Facility Phone Number: 352 556-5217

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1922024355

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D1106530
LAB Type	Practitioner Other
Facility Name	CARE ONE OF FLORIDA
Street	12220 CORTEZ BLVD
City	BROOKSVILLE
State	FL
ZIP	34613
Phone	352 556-5217
CertificateType	4
CertificateEffectiveDate	10/16/2023
CertificateExpirationDate	10/15/2025
FacilityType	Waiver

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