10D2264034 CLIA NUMBER - CHAIN OF LAKES PRIMARY CARE, LLC

Laboratory Demographics

CLIA Number: 10D2264034

Facility Name: CHAIN OF LAKES PRIMARY CARE, LLC

Facility Address:
8976 CONROY WINDERMERE ROAD
ORLANDO, FL
ZIP 32835
Get Directions

Facility Phone Number: 407 494-0770

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1740912534

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2264034
LAB Type	Physician Office
Facility Name	CHAIN OF LAKES PRIMARY CARE, LLC
Street	8976 CONROY WINDERMERE ROAD
City	ORLANDO
State	FL
ZIP	32835
Phone	407 494-0770
CertificateType	4
CertificateEffectiveDate	7/8/2022
CertificateExpirationDate	7/7/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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