10D2083592 CLIA NUMBER - EXPRESS CARE CLINIC

Laboratory Demographics

  • CLIA Code: 10D2083592
  • Facility Name: EXPRESS CARE CLINIC
  • Facility Address: 2650 W SR 434
    LONGWOOD, FL
    ZIP 32779
  • Facility Phone: 407 475-3366
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OLEKSANDR ONUSHKO
  • NPI Number: 1083016414
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2083592
LAB Type Physician Office
Facility Name EXPRESS CARE CLINIC
Street 2650 W SR 434
City LONGWOOD
State FL
ZIP 32779
Phone 407 475-3366
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2024
Certificate Expiration Date 9/8/2026
Facility Type Physician Office
Lab Director OLEKSANDR ONUSHKO

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