10D2121251 CLIA NUMBER - CARE ATC HERNANDO COUNTY

Laboratory Demographics

  • CLIA Code: 10D2121251
  • Facility Name: CARE ATC HERNANDO COUNTY
  • Facility Address: 20186 CORTEZ BLVD
    BROOKSVILLE, FL
    ZIP 34601
  • Facility Phone: 918 779-7471
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES DE LA FLOR
  • NPI Number: 1568911550
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2121251
LAB Type Physician Office
Facility Name CARE ATC HERNANDO COUNTY
Street 20186 CORTEZ BLVD
City BROOKSVILLE
State FL
ZIP 34601
Phone 918 779-7471
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2024
Certificate Expiration Date 11/1/2026
Facility Type Physician Office
Lab Director JAMES DE LA FLOR

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This page was last updated on: 9/29/2025