10D2298015 CLIA NUMBER - AVECINA MEDICAL, PA

Laboratory Demographics

CLIA Number: 10D2298015

Facility Name: AVECINA MEDICAL, PA

Facility Address:
7011 W NEWBERRY RD STE B
GAINESVILLE, FL
ZIP 32605
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Facility Phone Number: 352 240-6048

Facility Type: Other - URGENT CARE

Certificate Type: Waiver

NPI Number: 1710758990

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2298015
LAB Type	Other - URGENT CARE
Facility Name	AVECINA MEDICAL, PA
Street	7011 W NEWBERRY RD STE B
City	GAINESVILLE
State	FL
ZIP	32605
Phone	352 240-6048
CertificateType	4
CertificateEffectiveDate	1/26/2024
CertificateExpirationDate	1/25/2026
FacilityType	Waiver

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