10D2131124 CLIA NUMBER - OGLETHORPE OF ST CLOUD, LLC DBA HEROES MILE

Laboratory Demographics

  • CLIA Code: 10D2131124
  • Facility Name: OGLETHORPE OF ST CLOUD, LLC DBA HEROES MILE
  • Facility Address: 2775 BIG JOHN DRIVE
    DELAND, FL
    ZIP 32724
  • Facility Phone: 386 337-7957
  • Facility Type: Other - RESIDENTIAL SUBSTANCE ABU
  • Facility Type: Waiver
  • Lab Director: HARBINDER GHULLDU
  • NPI Number: 1861814022
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2131124
LAB Type Other - RESIDENTIAL SUBSTANCE ABU
Facility Name OGLETHORPE OF ST CLOUD, LLC DBA HEROES MILE
Street 2775 BIG JOHN DRIVE
City DELAND
State FL
ZIP 32724
Phone 386 337-7957
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2025
Certificate Expiration Date 5/22/2027
Facility Type Other - RESIDENTIAL SUBSTANCE ABU
Lab Director HARBINDER GHULLDU

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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