10D2141888 CLIA NUMBER - CLERMONT URGENT CARE

Laboratory Demographics

CLIA Number: 10D2141888

Facility Name: CLERMONT URGENT CARE

Facility Address:
1675 HANCOCK RD STE 300
CLERMONT, FL
ZIP 34711
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Facility Phone Number: 352 432-9990

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1275067555

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2141888
LAB Type	Physician Office
Facility Name	CLERMONT URGENT CARE
Street	1675 HANCOCK RD STE 300
City	CLERMONT
State	FL
ZIP	34711
Phone	352 432-9990
CertificateType	3
CertificateEffectiveDate	1/31/2024
CertificateExpirationDate	1/30/2026
FacilityType	PPMP

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