10D2300347 CLIA NUMBER - CARING HEARTS FAMILY MEDICAL CENTERS LLC

Laboratory Demographics

CLIA Number: 10D2300347

Facility Name: CARING HEARTS FAMILY MEDICAL CENTERS LLC

Facility Address:
1743 PARK CENTER DRIVE STE 300
ORLANDO, FL
ZIP 32835
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Facility Phone Number: 407 378-7169

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1720559198

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2300347
LAB Type	Physician Office
Facility Name	CARING HEARTS FAMILY MEDICAL CENTERS LLC
Street	1743 PARK CENTER DRIVE STE 300
City	ORLANDO
State	FL
ZIP	32835
Phone	407 378-7169
CertificateType	4
CertificateEffectiveDate	3/8/2024
CertificateExpirationDate	3/7/2026
FacilityType	Waiver

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