10D2057053 CLIA NUMBER - NEMOURS CHILDREN'S HEALTH

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Laboratory Demographics

CLIA Number: 10D2057053

Facility Name: NEMOURS CHILDREN'S HEALTH

Facility Address:
9145 NARCOOSEE RD STE 103
ORLANDO, FL
ZIP 32827
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Facility Phone Number: 407 650-7006

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1629591870

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2057053
LAB Type	Physician Office
Facility Name	NEMOURS CHILDREN'S HEALTH
Street	9145 NARCOOSEE RD STE 103
City	ORLANDO
State	FL
ZIP	32827
Phone	407 650-7006
CertificateType	4
CertificateEffectiveDate	4/9/2023
CertificateExpirationDate	4/8/2025
FacilityType	Waiver

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