10D2185321 CLIA NUMBER - CLERMONT RADIOLOGY - OCALA

Laboratory Demographics

CLIA Number: 10D2185321

Facility Name: CLERMONT RADIOLOGY - OCALA

Facility Address:
18 NE 1ST AVE
OCALA, FL
ZIP 34470
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Facility Phone Number: 352 241-6100

Facility Type: Other - IDTF

Certificate Type: Waiver

NPI Number: 1033426622

Taxonomy: 261QR0200X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 10D2185321
LAB Type Other - IDTF
Facility Name CLERMONT RADIOLOGY - OCALA
Street 18 NE 1ST AVE
City OCALA
State FL
ZIP 34470
Phone 352 241-6100
CertificateType 4
CertificateEffectiveDate 6/2/2022
CertificateExpirationDate 6/1/2024
FacilityType Waiver

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