10D2016867 CLIA NUMBER - ODB HEALTH INC

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Laboratory Demographics

CLIA Number: 10D2016867

Facility Name: ODB HEALTH INC

Facility Address:
1836 WOODWARD ST
ORLANDO, FL
ZIP 32803
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Facility Phone Number: 407 894-6980

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1033482088

Taxonomy: 101YM0800X - Counselor

CLIA Record

Field Name	Field Value
CLIA Number	10D2016867
LAB Type	Physician Office
Facility Name	ODB HEALTH INC
Street	1836 WOODWARD ST
City	ORLANDO
State	FL
ZIP	32803
Phone	407 894-6980
CertificateType	4
CertificateEffectiveDate	11/29/2022
CertificateExpirationDate	11/28/2024
FacilityType	Waiver

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