10D2179935 CLIA NUMBER - CENTRAL FLORIDA PEDIATRIC URGENT CARE LLC

Laboratory Demographics

CLIA Number: 10D2179935

Facility Name: CENTRAL FLORIDA PEDIATRIC URGENT CARE LLC

Facility Address:
425 S HUNT CLUB BLVD SUITE 2001
APOPKA, FL
ZIP 32703
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Facility Phone Number: 407 865-6564

Facility Type: Other - HEALTH CARE CLINIC

Certificate Type: Waiver

NPI Number: 1144626771

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2179935
LAB Type	Other - HEALTH CARE CLINIC
Facility Name	CENTRAL FLORIDA PEDIATRIC URGENT CARE LLC
Street	425 S HUNT CLUB BLVD SUITE 2001
City	APOPKA
State	FL
ZIP	32703
Phone	407 865-6564
CertificateType	4
CertificateEffectiveDate	3/4/2024
CertificateExpirationDate	3/3/2026
FacilityType	Waiver

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