10D2293307 CLIA NUMBER - AMERICAN FAMILY CARE - ALTAMONTE SPRINGS

Laboratory Demographics

CLIA Number: 10D2293307

Facility Name: AMERICAN FAMILY CARE - ALTAMONTE SPRINGS

Facility Address:
1013 SR 434, SUITE 1060
ALTAMONTE SPRINGS, FL
ZIP 32714
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Facility Phone Number: 407 867-0008

Facility Type: Other - URGENT CARE

Certificate Type: Waiver

NPI Number: 1174306542

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2293307
LAB Type	Other - URGENT CARE
Facility Name	AMERICAN FAMILY CARE - ALTAMONTE SPRINGS
Street	1013 SR 434, SUITE 1060
City	ALTAMONTE SPRINGS
State	FL
ZIP	32714
Phone	407 867-0008
CertificateType	4
CertificateEffectiveDate	11/7/2023
CertificateExpirationDate	11/6/2025
FacilityType	Waiver

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