10D0274745 CLIA NUMBER - JAN A BECKER MD

Laboratory Demographics

  • CLIA Code: 10D0274745
  • Facility Name: JAN A BECKER MD
  • Facility Address: 727 VASSAR STREET
    ORLANDO, FL
    ZIP 32804
  • Facility Phone: 407 849-0330
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAN A. BECKER
  • NPI Number: 1225014954
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0274745
LAB Type Physician Office
Facility Name JAN A BECKER MD
Street 727 VASSAR STREET
City ORLANDO
State FL
ZIP 32804
Phone 407 849-0330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director JAN A. BECKER

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