10D2306531 CLIA NUMBER - TCH URGENT CARE LLC

Laboratory Demographics

  • CLIA Code: 10D2306531
  • Facility Name: TCH URGENT CARE LLC
  • Facility Address: 17190 SE 109TH TERRACE RD
    SUMMERFIELD, FL
    ZIP 34491
  • Facility Phone: 352 268-0003
  • Facility Type: Other - URGENT CARE FACILITY
  • Facility Type: Waiver
  • Lab Director: VISHNU YELAMANCHI
  • NPI Number: 1609617620
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2306531
LAB Type Other - URGENT CARE FACILITY
Facility Name TCH URGENT CARE LLC
Street 17190 SE 109TH TERRACE RD
City SUMMERFIELD
State FL
ZIP 34491
Phone 352 268-0003
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2024
Certificate Expiration Date 6/18/2026
Facility Type Other - URGENT CARE FACILITY
Lab Director VISHNU YELAMANCHI

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This page was last updated on: 9/29/2025