10D2046990 CLIA NUMBER - CITY OF SANFORD EMPLOYEE HEALTH AND WELLNESS CENTER

Laboratory Demographics

CLIA Number: 10D2046990

Facility Name: CITY OF SANFORD EMPLOYEE HEALTH AND WELLNESS CENTER

Facility Address:
1403 MEDICAL PLAZA DR STE 205
SANFORD, FL
ZIP 32771
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Facility Phone Number: 615 312-2800

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1134114945

Taxonomy: 146L00000X - Emergency Medical Technician, Paramedic
An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards.

CLIA Record

Field Name Field Value
CLIA Number 10D2046990
LAB Type Physician Office
Facility Name CITY OF SANFORD EMPLOYEE HEALTH AND WELLNESS CENTER
Street 1403 MEDICAL PLAZA DR STE 205
City SANFORD
State FL
ZIP 32771
Phone 615 312-2800
CertificateType 4
CertificateEffectiveDate 9/14/2022
CertificateExpirationDate 9/13/2024
FacilityType Waiver

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