10D2042336 CLIA NUMBER - LAKE CONWAY URGENT CARE LLC

Laboratory Demographics

  • CLIA Code: 10D2042336
  • Facility Name: LAKE CONWAY URGENT CARE LLC
  • Facility Address: 5050 S CONWAY RD SUITE 2
    ORLANDO, FL
    ZIP 32812
  • Facility Phone: 407 851-2790
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PATRICK DANG
  • NPI Number: 1215218532
  • Taxonomy: 261QU0200X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2042336
LAB Type Physician Office
Facility Name LAKE CONWAY URGENT CARE LLC
Street 5050 S CONWAY RD SUITE 2
City ORLANDO
State FL
ZIP 32812
Phone 407 851-2790
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2024
Certificate Expiration Date 6/7/2026
Facility Type Physician Office
Lab Director PATRICK DANG

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025