10D2066901 CLIA NUMBER - CENTRAL FLORIDA EXPRESS CARE

Laboratory Demographics

  • CLIA Code: 10D2066901
  • Facility Name: CENTRAL FLORIDA EXPRESS CARE
  • Facility Address: 501 N BLVD W
    LEESBURG, FL
    ZIP 34748
  • Facility Phone: 352 431-3743
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAVI GUPTA
  • NPI Number: 1205294212
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 10D2066901
LAB Type Physician Office
Facility Name CENTRAL FLORIDA EXPRESS CARE
Street 501 N BLVD W
City LEESBURG
State FL
ZIP 34748
Phone 352 431-3743
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type Physician Office
Lab Director RAVI GUPTA

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This page was last updated on: 9/29/2025