10D2141870 CLIA NUMBER - URGENT FAMILY CLINIC LLC

Laboratory Demographics

CLIA Number: 10D2141870

Facility Name: URGENT FAMILY CLINIC LLC

Facility Address:
11601 SOUTH ORANGE BLOSSOM TRL STE 101
ORLANDO, FL
ZIP 32837
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Facility Phone Number: 407 271-4605

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1326541897

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	10D2141870
LAB Type	Physician Office
Facility Name	URGENT FAMILY CLINIC LLC
Street	11601 SOUTH ORANGE BLOSSOM TRL STE 101
City	ORLANDO
State	FL
ZIP	32837
Phone	407 271-4605
CertificateType	4
CertificateEffectiveDate	12/26/2023
CertificateExpirationDate	12/25/2025
FacilityType	Waiver

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