10D2134691 CLIA NUMBER - TOTAL CARE PLUS LLC

Laboratory Demographics

CLIA Number: 10D2134691

Facility Name: TOTAL CARE PLUS LLC

Facility Address:
7284 BROAD STREET
BROOKSVILLE, FL
ZIP 34601
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Facility Phone Number: 770 772-1830

Facility Type: Other - URGENT CARE

Certificate Type: Waiver

NPI Number: 1376069948

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2134691
LAB Type	Other - URGENT CARE
Facility Name	TOTAL CARE PLUS LLC
Street	7284 BROAD STREET
City	BROOKSVILLE
State	FL
ZIP	34601
Phone	770 772-1830
CertificateType	4
CertificateEffectiveDate	8/8/2023
CertificateExpirationDate	8/7/2025
FacilityType	Waiver

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