10D2024075 CLIA NUMBER - CAREATC, INC

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Laboratory Demographics

CLIA Number: 10D2024075

Facility Name: CAREATC, INC

Facility Address:
413 W ROBERTSON ST - STE A
BRANDON, FL
ZIP 33511
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Facility Phone Number: 918 779-7471

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1578015152

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2024075
LAB Type	Physician Office
Facility Name	CAREATC, INC
Street	413 W ROBERTSON ST - STE A
City	BRANDON
State	FL
ZIP	33511
Phone	918 779-7471
CertificateType	4
CertificateEffectiveDate	5/9/2023
CertificateExpirationDate	5/8/2025
FacilityType	Waiver

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