10D2067848 CLIA NUMBER - LAKE REGIONAL URGENT CARE

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Laboratory Demographics

CLIA Number: 10D2067848

Facility Name: LAKE REGIONAL URGENT CARE

Facility Address:
16890 US HWY 441
MOUNT DORA, FL
ZIP 32757
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Facility Phone Number: 352 315-8881

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1265631519

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2067848
LAB Type	Physician Office
Facility Name	LAKE REGIONAL URGENT CARE
Street	16890 US HWY 441
City	MOUNT DORA
State	FL
ZIP	32757
Phone	352 315-8881
CertificateType	1
CertificateEffectiveDate	6/25/2022
CertificateExpirationDate	6/24/2024
FacilityType	Accreditation

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