10D2242240 CLIA NUMBER - EMBRACE HEALTH, INC

Laboratory Demographics

CLIA Number: 10D2242240

Facility Name: EMBRACE HEALTH, INC

Facility Address:
6220 SOUTH ORANGE BLOSSOM TRAIL STE 602
ORLANDO, FL
ZIP 32809
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Facility Phone Number: 407 259-4307

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1427629476

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2242240
LAB Type	Physician Office
Facility Name	EMBRACE HEALTH, INC
Street	6220 SOUTH ORANGE BLOSSOM TRAIL STE 602
City	ORLANDO
State	FL
ZIP	32809
Phone	407 259-4307
CertificateType	4
CertificateEffectiveDate	11/5/2023
CertificateExpirationDate	11/4/2025
FacilityType	Waiver

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