10D2111792 CLIA NUMBER - GAP MEDICAL CENTER

Laboratory Demographics

CLIA Number: 10D2111792

Facility Name: GAP MEDICAL CENTER

Facility Address:
1674 S ORANGE BLOSSOM TRL
APOPKA, FL
ZIP 32703
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Facility Phone Number: 407 814-9011

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1598124372

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 10D2111792
LAB Type Physician Office
Facility Name GAP MEDICAL CENTER
Street 1674 S ORANGE BLOSSOM TRL
City APOPKA
State FL
ZIP 32703
Phone 407 814-9011
CertificateType 4
CertificateEffectiveDate 4/15/2024
CertificateExpirationDate 4/14/2026
FacilityType Waiver

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