10D2319501 CLIA NUMBER - HEALTHY ICC, LLC

Laboratory Demographics

  • CLIA Code: 10D2319501
  • Facility Name: HEALTHY ICC, LLC
  • Facility Address: 483 N SEMORAN STE 103
    WINTER PARK, FL
    ZIP 32792
  • Facility Phone: 407 215-6360
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MICHELLE TAYLOR
  • NPI Number: 1588486302
  • Taxonomy: 261QE0002X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2319501
LAB Type Physician Office
Facility Name HEALTHY ICC, LLC
Street 483 N SEMORAN STE 103
City WINTER PARK
State FL
ZIP 32792
Phone 407 215-6360
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/3/2025
Certificate Expiration Date 3/2/2027
Facility Type Physician Office
Lab Director MICHELLE TAYLOR

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