10D2159749 CLIA NUMBER - CREW HEALTH INC

Laboratory Demographics

CLIA Number: 10D2159749

Facility Name: CREW HEALTH INC

Facility Address:
8601 COMMODITY CIRCLE
ORLANDO, FL
ZIP 32819
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Facility Phone Number: 407 992-6196

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1982179586

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 10D2159749
LAB Type Physician Office
Facility Name CREW HEALTH INC
Street 8601 COMMODITY CIRCLE
City ORLANDO
State FL
ZIP 32819
Phone 407 992-6196
CertificateType 4
CertificateEffectiveDate 12/26/2022
CertificateExpirationDate 12/25/2024
FacilityType Waiver

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