10D2112883 CLIA NUMBER - ADVANTACARE MULTI SPECIALTY GROUP LLC

Laboratory Demographics

  • CLIA Code: 10D2112883
  • Facility Name: ADVANTACARE MULTI SPECIALTY GROUP LLC
  • Facility Address: 697 MAITLAND AVE
    ALTAMONTE SPRINGS, FL
    ZIP 32701
  • Facility Phone: 386 299-0846
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALEXANDER C. JUNGREIS
  • NPI Number: 1750740759
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 10D2112883
LAB Type Physician Office
Facility Name ADVANTACARE MULTI SPECIALTY GROUP LLC
Street 697 MAITLAND AVE
City ALTAMONTE SPRINGS
State FL
ZIP 32701
Phone 386 299-0846
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2024
Certificate Expiration Date 5/10/2026
Facility Type Physician Office
Lab Director ALEXANDER C. JUNGREIS

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This page was last updated on: 6/4/2025