10D2125746 CLIA NUMBER - CENTRAL FLORIDA HEALTH CARE, INC

Laboratory Demographics

CLIA Number: 10D2125746

Facility Name: CENTRAL FLORIDA HEALTH CARE, INC

Facility Address:
705 INGRAHAM AVE
HAINES CITY, FL
ZIP 33844
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Facility Phone Number: 863 291-5110

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1598417883

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	10D2125746
LAB Type	Federally Qualified Health Center
Facility Name	CENTRAL FLORIDA HEALTH CARE, INC
Street	705 INGRAHAM AVE
City	HAINES CITY
State	FL
ZIP	33844
Phone	863 291-5110
CertificateType	4
CertificateEffectiveDate	1/1/2024
CertificateExpirationDate	12/31/2025
FacilityType	Waiver

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