10D2005018 CLIA NUMBER - ADVENTHEALTH CORPORATE CARE COLONIAL TOWN

Laboratory Demographics

  • CLIA Code: 10D2005018
  • Facility Name: ADVENTHEALTH CORPORATE CARE COLONIAL TOWN
  • Facility Address: 630 NORTH BUMBY AVE
    ORLANDO, FL
    ZIP 32803
  • Facility Phone: 407 896-1014
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TIMOTHY HENDRIX
  • NPI Number: 1841517778
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2005018
LAB Type Physician Office
Facility Name ADVENTHEALTH CORPORATE CARE COLONIAL TOWN
Street 630 NORTH BUMBY AVE
City ORLANDO
State FL
ZIP 32803
Phone 407 896-1014
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2024
Certificate Expiration Date 1/25/2026
Facility Type Physician Office
Lab Director TIMOTHY HENDRIX

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This page was last updated on: 6/4/2025