10D2208371 CLIA NUMBER - CARESPOT - AVALON PARK

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Laboratory Demographics

CLIA Number: 10D2208371

Facility Name: CARESPOT - AVALON PARK

Facility Address:
311 AVALON PARK
ORLANDO, FL
ZIP 32828
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Facility Phone Number: 407 295-7557

Facility Type: Other - URGENT CARE

Certificate Type: Waiver

NPI Number: 1255009569

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2208371
LAB Type	Other - URGENT CARE
Facility Name	CARESPOT - AVALON PARK
Street	311 AVALON PARK
City	ORLANDO
State	FL
ZIP	32828
Phone	407 295-7557
CertificateType	4
CertificateEffectiveDate	1/6/2023
CertificateExpirationDate	1/5/2025
FacilityType	Waiver

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