10D2145801 CLIA NUMBER - ADVENTIST HEALTH SYSTEMS SUNBELT INC DBA ADVENTHEALTH CENTRA CARE LAKE NONA

Laboratory Demographics

CLIA Number: 10D2145801

Facility Name: ADVENTIST HEALTH SYSTEMS SUNBELT INC DBA ADVENTHEALTH CENTRA CARE LAKE NONA

Facility Address:
9637 LAKE NONA VILLAGE PLACE
ORLANDO, FL
ZIP 32827
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Facility Phone Number: 407 200-2782

Facility Type: Other - URGENT CARE

Certificate Type: Waiver

NPI Number: 1316445471

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2145801
LAB Type	Other - URGENT CARE
Facility Name	ADVENTIST HEALTH SYSTEMS SUNBELT INC DBA ADVENTHEALTH CENTRA CARE LAKE NONA
Street	9637 LAKE NONA VILLAGE PLACE
City	ORLANDO
State	FL
ZIP	32827
Phone	407 200-2782
CertificateType	4
CertificateEffectiveDate	3/15/2024
CertificateExpirationDate	3/14/2026
FacilityType	Waiver

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