10D2170475 CLIA NUMBER - USA MEDICAL CARE LLC

Laboratory Demographics

  • CLIA Code: 10D2170475
  • Facility Name: USA MEDICAL CARE LLC
  • Facility Address: 904 W MAGNOLIA STREET
    KISSIMMEE, FL
    ZIP 34741
  • Facility Phone: 407 593-2816
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARICELIS MORALES-COLON
  • NPI Number: 1629317482
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2170475
LAB Type Physician Office
Facility Name USA MEDICAL CARE LLC
Street 904 W MAGNOLIA STREET
City KISSIMMEE
State FL
ZIP 34741
Phone 407 593-2816
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2025
Certificate Expiration Date 8/12/2027
Facility Type Physician Office
Lab Director MARICELIS MORALES-COLON

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This page was last updated on: 9/29/2025