10D2264015 CLIA NUMBER - ELON HEALTH LLC

Laboratory Demographics

  • CLIA Code: 10D2264015
  • Facility Name: ELON HEALTH LLC
  • Facility Address: 43378 HIGHWAY 27 STE A
    DAVENPORT, FL
    ZIP 33837
  • Facility Phone: 407 550-1209
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: LEONARDO CISNEROS
  • NPI Number: 1144967431
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2264015
LAB Type Other - URGENT CARE
Facility Name ELON HEALTH LLC
Street 43378 HIGHWAY 27 STE A
City DAVENPORT
State FL
ZIP 33837
Phone 407 550-1209
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2024
Certificate Expiration Date 7/7/2026
Facility Type Other - URGENT CARE
Lab Director LEONARDO CISNEROS

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This page was last updated on: 9/29/2025