10D2291263 CLIA NUMBER - ADVENTHEALTH IMAGING CENTER CELEBRATION POINTE

Laboratory Demographics

CLIA Number: 10D2291263

Facility Name: ADVENTHEALTH IMAGING CENTER CELEBRATION POINTE

Facility Address:
1551 FUTURE WAY
CELEBRATION, FL
ZIP 34747
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Facility Phone Number: 407 303-4041

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1730273152

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	10D2291263
LAB Type	Physician Office
Facility Name	ADVENTHEALTH IMAGING CENTER CELEBRATION POINTE
Street	1551 FUTURE WAY
City	CELEBRATION
State	FL
ZIP	34747
Phone	407 303-4041
CertificateType	4
CertificateEffectiveDate	10/7/2023
CertificateExpirationDate	10/6/2025
FacilityType	Waiver

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