10D2117673 CLIA NUMBER - UNIVERSITY OF FLORIDA MOBILE OUTREACH CLINIC

Laboratory Demographics

CLIA Number: 10D2117673

Facility Name: UNIVERSITY OF FLORIDA MOBILE OUTREACH CLINIC

Facility Address:
1600 ARCHER RD MEDICAL SCIENCES BLDG STE NG3
GAINESVILLE, FL
ZIP 32610
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Facility Phone Number: 352 265-8067

Facility Type: Mobile Laboratory

Certificate Type: Microscopy

NPI Number: 1578554572

Taxonomy: 363LP2300X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	10D2117673
LAB Type	Mobile Laboratory
Facility Name	UNIVERSITY OF FLORIDA MOBILE OUTREACH CLINIC
Street	1600 ARCHER RD MEDICAL SCIENCES BLDG STE NG3
City	GAINESVILLE
State	FL
ZIP	32610
Phone	352 265-8067
CertificateType	3
CertificateEffectiveDate	8/22/2022
CertificateExpirationDate	8/21/2024
FacilityType	PPMP

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