10D2093677 CLIA NUMBER - VIP WALK IN CLINIC

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Laboratory Demographics

CLIA Number: 10D2093677

Facility Name: VIP WALK IN CLINIC

Facility Address:
12139 S APOPKA VINELAND RD
ORLANDO, FL
ZIP 32836
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Facility Phone Number: 407 730-9911

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1033502182

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	10D2093677
LAB Type	Practitioner Other
Facility Name	VIP WALK IN CLINIC
Street	12139 S APOPKA VINELAND RD
City	ORLANDO
State	FL
ZIP	32836
Phone	407 730-9911
CertificateType	4
CertificateEffectiveDate	4/2/2023
CertificateExpirationDate	4/1/2025
FacilityType	Waiver

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