10D2121029 CLIA NUMBER - EXCEPTIONAL CARE CENTER

Laboratory Demographics

CLIA Number: 10D2121029

Facility Name: EXCEPTIONAL CARE CENTER

Facility Address:
1810 WELLNESS LN
TRINITY, FL
ZIP 34655
Get Directions

Facility Phone Number: 727 323-9780

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1487100467

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	10D2121029
LAB Type	Physician Office
Facility Name	EXCEPTIONAL CARE CENTER
Street	1810 WELLNESS LN
City	TRINITY
State	FL
ZIP	34655
Phone	727 323-9780
CertificateType	4
CertificateEffectiveDate	10/28/2022
CertificateExpirationDate	10/27/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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