10D2278667 CLIA NUMBER - PROJECT HEALTH INC DBA LANGLEY HEALTH SERVICES

Laboratory Demographics

CLIA Number: 10D2278667

Facility Name: PROJECT HEALTH INC DBA LANGLEY HEALTH SERVICES

Facility Address:
7945 S SUNCOAST BLVD, STE A-B
HOMOSASSA, FL
ZIP 34446
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Facility Phone Number: 352 793-5900

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1669012498

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2278667
LAB Type	Federally Qualified Health Center
Facility Name	PROJECT HEALTH INC DBA LANGLEY HEALTH SERVICES
Street	7945 S SUNCOAST BLVD, STE A-B
City	HOMOSASSA
State	FL
ZIP	34446
Phone	352 793-5900
CertificateType	4
CertificateEffectiveDate	3/22/2023
CertificateExpirationDate	3/21/2025
FacilityType	Waiver

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