10D2315435 CLIA NUMBER - OMEGA INTEGRATIVE CARE LLC

Laboratory Demographics

  • CLIA Code: 10D2315435
  • Facility Name: OMEGA INTEGRATIVE CARE LLC
  • Facility Address: 910 OLD CAMP ROAD BLDG 110, SUITE 112
    THE VILLAGES, FL
    ZIP 32162
  • Facility Phone: 352 240-1471
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SARA J. TATE
  • NPI Number: 1780403964
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2315435
LAB Type Physician Office
Facility Name OMEGA INTEGRATIVE CARE LLC
Street 910 OLD CAMP ROAD BLDG 110, SUITE 112
City THE VILLAGES
State FL
ZIP 32162
Phone 352 240-1471
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2024
Certificate Expiration Date 12/11/2026
Facility Type Physician Office
Lab Director SARA J. TATE

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