10D2030313 CLIA NUMBER - VANGUARD MEDICAL CENTER

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Laboratory Demographics

CLIA Number: 10D2030313

Facility Name: VANGUARD MEDICAL CENTER

Facility Address:
711 S HWY 27 STE E
CLERMONT, FL
ZIP 34711
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Facility Phone Number: 407 460-0608

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1689948069

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2030313
LAB Type	Physician Office
Facility Name	VANGUARD MEDICAL CENTER
Street	711 S HWY 27 STE E
City	CLERMONT
State	FL
ZIP	34711
Phone	407 460-0608
CertificateType	4
CertificateEffectiveDate	9/26/2023
CertificateExpirationDate	9/25/2025
FacilityType	Waiver

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