10D2281080 CLIA NUMBER - ADVANCED JOINT AND SPINE INSTITUTE-ORLANDO, LLC

Laboratory Demographics

CLIA Number: 10D2281080

Facility Name: ADVANCED JOINT AND SPINE INSTITUTE-ORLANDO, LLC

Facility Address:
7974 LAKE UNDERHILL RD
ORLANDO, FL
ZIP 32822
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Facility Phone Number: 407 256-0933

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1275231466

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2281080
LAB Type	Ambulatory Surgery Center
Facility Name	ADVANCED JOINT AND SPINE INSTITUTE-ORLANDO, LLC
Street	7974 LAKE UNDERHILL RD
City	ORLANDO
State	FL
ZIP	32822
Phone	407 256-0933
CertificateType	4
CertificateEffectiveDate	5/2/2023
CertificateExpirationDate	5/1/2025
FacilityType	Waiver

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