Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
10D2315170
|
|
Clinical laboratory number
|
|
Lab Name
|
SIMONMED IMAGING FLORIDA LLC
|
|
Laboratory Name
|
|
Lab Type
|
Other - OUTPATIENT MEDICAL IMAGIN
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
321-559-8362
|
|
Laboratory telephone number
|
|
Fax
|
321-559-8363
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
2954 MALLORY CIRCLE, SUITE 104
|
|
Primary location adress line
|
|
City
|
CELEBRATION
|
|
Primary location city name
|
|
State
|
FL
|
|
Primary location state name
|
|
Zip
|
34747
|
|
Primary location postal code
|