10D2217117 CLIA NUMBER - WELLSPRINGS HEALTH CARE CENTER

Laboratory Demographics

CLIA Number: 10D2217117

Facility Name: WELLSPRINGS HEALTH CARE CENTER

Facility Address:
19204 NW US HWY 441
HIGH SPRINGS, FL
ZIP 32643
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Facility Phone Number: 386 454-7746

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1598309718

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	10D2217117
LAB Type	Practitioner Other
Facility Name	WELLSPRINGS HEALTH CARE CENTER
Street	19204 NW US HWY 441
City	HIGH SPRINGS
State	FL
ZIP	32643
Phone	386 454-7746
CertificateType	4
CertificateEffectiveDate	3/18/2023
CertificateExpirationDate	3/17/2025
FacilityType	Waiver

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