10D2176642 CLIA NUMBER - ADVENTHEALTH CENTRA CARE LAKELAND

Laboratory Demographics

CLIA Number: 10D2176642

Facility Name: ADVENTHEALTH CENTRA CARE LAKELAND

Facility Address:
3637 US HIGHWAY 98
LAKELAND, FL
ZIP 33809
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Facility Phone Number: 407 200-2300

Facility Type: Other - URGENT CARE

Certificate Type: Waiver

NPI Number: 1942603519

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 10D2176642
LAB Type Other - URGENT CARE
Facility Name ADVENTHEALTH CENTRA CARE LAKELAND
Street 3637 US HIGHWAY 98
City LAKELAND
State FL
ZIP 33809
Phone 407 200-2300
CertificateType 4
CertificateEffectiveDate 12/19/2023
CertificateExpirationDate 12/18/2025
FacilityType Waiver

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